Korean J Crit Care Med.  2015 Feb;30(1):18-21. 10.4266/kjccm.2015.30.1.18.

A Rare Case of Massive Hemothorax due to Central Venous Catheterization Treated with Angiographic Stent Implantation

• Bae JM

• KMID: 2227695
• DOI: http://doi.org/10.4266/kjccm.2015.30.1.18

Abstract

In critically ill patients, centeral venous catheterization is a widely used procedure for fluid resuscitation, massive transfusion, total parenteral nutrition, central venous pressure monitoring and hemodialysis. However, many complications are associated with central venous catheterization. Among these complications, hemothorax is rare but fatal. We recently experienced a 32-year-old female diagnosed with hemothorax due to subclavian catheterization who was successfully treated with angiographic intervention. There are no absolute indications of surgery or interventional treatment in such cases. Multicenter studies and consensus are necessary to determine the proper treatment for hemothorax due to central venous catheterization. Angiographic treatment is rarely used for this uncommon complication of subclavian catheterization. We describe a rare case with a review of the literature.

Keyword

angiography; catheterization, central venous; hemothorax

MeSH Terms

Adult
Angiography
Catheterization
Catheterization, Central Venous*
Catheters
Central Venous Catheters*
Central Venous Pressure
Consensus
Critical Illness
Female
Hemothorax*
Humans
Parenteral Nutrition, Total
Renal Dialysis
Resuscitation
Stents*

Figure

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  Fig. 1. Chest radiograph. The chest radiograph shows a large hemothorax in the right thoracic cavity.

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  Fig. 2. Angiography. Angiograpy shows extravation (white arrow) of contrast material into the thoracic cavity.

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  Fig. 3. Angiography after implantation of a stent graft. There is no extravasation of constrast material after implantation of a stent graft.

Reference

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