Korean J Anesthesiol.  2014 Jul;67(1):61-65. 10.4097/kjae.2014.67.1.61.

Deep vein thrombosis after spine operation in prone position with subclavian venous catheterization: a case report

• Cho JK
• Han JH
• Park SW
• Kim KS

• KMID: 2236209
• DOI: http://doi.org/10.4097/kjae.2014.67.1.61

Abstract

We experienced a case of deep vein thrombosis after spine surgery in the prone position with a central venous catheter (CVC). Posterior lumbar interbody fusion was performed on a 73-year-old female patient who was diagnosed with spinal stenosis. Accordingly, in the operation room under general anesthesia, two-lumen CVC were inserted into the left subclavian vein. The surgery was performed in the prone position with a Wilson frame. On the next day, there was a sudden occurrence of severe edema in the patient's left arm. By ultrasonography and computed tomography scanning, extensive deep vein thrombosis was observed in the left subclavian vein. The existence of a factor affecting blood flow such as the prone position may increase the risk of thrombus formation. Therefore, careful perioperative evaluation should be implemented.

Keyword

Central venous catheters; Prone position; Upper extremity deep vein thrombosis

MeSH Terms

Aged
Anesthesia, General
Arm
Catheterization*
Catheters*
Central Venous Catheters
Edema
Female
Humans
Prone Position*
Spinal Stenosis
Spine*
Subclavian Vein
Thrombosis
Ultrasonography
Upper Extremity Deep Vein Thrombosis
Venous Thrombosis*