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KMID : 0356920150680040402
Korean Journal of Anesthesiology
2015 Volume.68 No. 4 p.402 ~ p.406
Correction of malposition of central venous catheter with 9-Fr introducer sheath assisted by mobile type diagnostic X-ray apparatus
Ryu Jae-Kyu

Yoon Ji-Hyun
Lee Eun-Joon
Lee Chia-An
Woo Seong-Chang
Jeong Chang-Young
Abstract
Central venous catheters provide long-term available vascular access. They are useful for central venous pressure monitoring, rapid fluid management, massive transfusion and direct cardiovascular medication, especially in operation. Central venous catheterization is usually performed by the landmark bedside technique without imaging guidance. The complications of central venous catheterization are frequent, which include malposition, pneumothorax, hemothorax, chylothorax, arterial puncture, hematoma, air embolism and infection. Malposition of a central venous catheter is not rare and may cause several complications such as malfunction of the catheter, default measurement of central venous pressure, catheter erosion, thrombophlebitis and cardiac tamponade. In this case, we report a malposition of central venous catheter with 9-Fr introducer sheath which is located in the right subclavian vein via ipsilateral internal jugular vein and the correction of this misplacement assisted by mobile type diagnostic X-ray apparatus (C-arm fluoroscope).
KEYWORD
Catheterization, Internal jugular vein, Malposition, Subclavian vein
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