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KMID : 0356920140670010061
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Korean Journal of Anesthesiology
2014 Volume.67 No. 1 p.61 ~ p.65
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Deep vein thrombosis after spine operation in prone position with subclavian venous catheterization: a case report
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Cho Jae-Kyung
Han Jin-Hee
Park Sung-Wook
Kim Keon-Sik
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Abstract
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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.
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KEYWORD
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Central venous catheters, Prone position, Upper extremity deep vein thrombosis
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