Unusual misplacement of a subclavian vein catheter detected on a bone scan

2006 ◽  
Vol 25 (2) ◽  
pp. 117
Author(s):  
M. Eftekhari ◽  
A. Gholamrezanezhad
Keyword(s):  
Subclavian Vein ◽  
Bone Scan ◽  
Vein Catheter

Phrenic nerve palsy: a rare complication of indwelling subclavian vein catheter

2000 ◽  
Vol 14 (3) ◽  
pp. 203-204 ◽  
Author(s):  
S. Aggarwal ◽  
P. Hari ◽  
A. Bagga ◽  
S.N. Mehta
Keyword(s):  
Phrenic Nerve ◽  
Subclavian Vein ◽  
Nerve Palsy ◽  
Rare Complication ◽  
Phrenic Nerve Palsy ◽  
Vein Catheter

Internal Jugular Vein Occlusion Test for Rapid Diagnosis of Misplaced Subclavian Vein Catheter into the Internal Jugular Vein

2001 ◽  
Vol 95 (6) ◽  
pp. 1377-1379 ◽  
Author(s):  
Sushil P. Ambesh ◽  
Jyotish C. Pandey ◽  
Prakash K. Dubey
Keyword(s):  
Internal Jugular Vein ◽  
Chest Radiography ◽  
Subclavian Vein ◽  
Jugular Vein ◽  
Venous Pressure ◽  
Test Results ◽  
Central Venous ◽  
Occlusion Test ◽  
Vein Catheter ◽  
Catheter Tip

Background During subclavian vein catheterization, the most common misplacement of the catheter is cephalad, into the ipsilateral internal jugular vein (IJV). This can be detected by chest radiography. However, after any repositioning of the catheter, subsequent chest radiography is required. In an effort to simplify the detection of a misplaced subclavian vein catheter, the authors assessed a previously published detection method. Methods One hundred adult patients scheduled for subclavian vein cannulation were included in this study. After placement of subclavian vein catheter, chest radiography was performed. While the x-ray film was being processed, the authors performed an IJV occlusion test by applying external pressure on the IJV for approximately 10 s in the supraclavicular area and observed the change in central venous pressure and its waveform pattern. The observations thus obtained were compared with the position of catheter in chest radiographs, and the sensitivity and specificity of this method were evaluated using a 2 x 2 table. Results In 96 patients, subclavian vein cannulation was successfully performed. In four patients, cannulation was unsuccessful; therefore, these patients were excluded from the study. There were six misplacements of venous catheters as detected by radiography. In five (5.2%) patients, the catheter tip was located in the ipsilateral IJV, and in one (1.02%), the catheter tip was located in the contralateral subclavian vein. In the patients who had a misplaced catheter into the IJV, IJV occlusion test results were positive, with an increase of 3-5 mmHg in central venous pressure, whereas the test results were negative in patients who had normally placed catheters or misplacement of a catheter other than in the IJV. There were no false-positive or false-negative test results. Conclusion The IJV occlusion test successfully detects the misplacement of subclavian vein catheter into the IJV. However, it does not detect any other misplacement. The test may allow avoidance of repeated exposure to x-rays after catheter insertion and repositioning.

scholarly journals Misplacement of subclavian vein catheter in a neonate: What went wrong?

2016 ◽  
Vol 10 (2) ◽  
pp. 379
Author(s):  
Neeraj Kumar ◽  
PrakashKumar Dubey ◽  
Sukesh Kumar ◽  
OmPrakash Sanjeev ◽  
BikramKumar Gupta
Keyword(s):  
Subclavian Vein ◽  
Vein Catheter

An additional imaging sign preceding spontaneous fragmentation and embolization of an implanted subclavian vein catheter

1995 ◽  
Vol 4 (4) ◽  
pp. 322-324
Author(s):  
O Abulafia ◽  
DM Sherer ◽  
PJ Fultz
Keyword(s):  
Subclavian Vein ◽  
Early Recognition ◽  
Distal Embolization ◽  
Radiopaque Marker ◽  
First Report ◽  
Significant Complication ◽  
Vein Catheter ◽  
Breakage Point ◽  
Additional Imaging ◽  
Imaging Signs

Analysis of chest roentgenograms performed before spontaneous fragmentation and distal embolization of an implanted subclavian vein catheter revealed discontinuity of the catheter's radiopaque marker in addition to kinking of the area proximal to the breakage point. To the authors' knowledge the case presented in this article is the first report of this imaging sign before catheter fragmentation. Lateral catheter placement and early recognition of subtle imaging signs may assist in decreasing the incidence of this significant complication.

scholarly journals Saline flush test for bedside detection of misplaced subclavian vein catheter into ipsilateral internal jugular vein †

2009 ◽  
Vol 102 (4) ◽  
pp. 499-502 ◽  
Author(s):  
G.P. Rath ◽  
P.K. Bithal ◽  
G.R. Toshniwal ◽  
H. Prabhakar ◽  
H.H. Dash
Keyword(s):  
Internal Jugular Vein ◽  
Subclavian Vein ◽  
Jugular Vein ◽  
Vein Catheter

Early Rupture of Subclavian Vein Catheter: A Case Report and Literature Review

2004 ◽  
Vol 5 (1) ◽  
pp. 39-46 ◽  
Author(s):  
G. Sarzo ◽  
C. Finco ◽  
F. Zustovich ◽  
P. Parise ◽  
S. Savastano ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Subclavian Vein ◽  
Vein Catheter
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