Anesth Pain Med.  2010 Jul;5(3):264-266.

Accidental malpositioning of 9Fr central venous catheter in the right subclavian vein via right internal jugular vein: A case report

• Yang SH
• Ko JS
• Kim GS
• Gwak MS

Abstract

Central venous catheters can provide important hemodynamic information in patients with cardiopulmonary disease and access for medicine, fluid, and blood administration during surgery. The placement of central venous catheters is associated with a complication rate of 0.4% to 20%, including pneumothorax, arterial puncture, infection and cardiac tamponade. In addition, malposition of central venous catheter is another complication of central venous catheterization. We report a case of malpositioning of central venous catheter which is located in the right subclavian vein via internal jugular vein in a liver transplant recipient. The malpositioning was confirmed by portable X-ray after several field attempts to advance Swan-Ganz catheter and achieve normal sequences of pressure waves.

Keyword

Central venous catheter; Malposition; Subclavian vein

MeSH Terms

Cardiac Tamponade
Catheterization, Central Venous
Catheters
Central Venous Catheters
Hemodynamics
Humans
Jugular Veins
Liver
Pneumothorax
Punctures
Subclavian Vein