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KMID : 0356920160690050532
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Korean Journal of Anesthesiology
2016 Volume.69 No. 5 p.532 ~ p.534
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Central venous catheter malposition due to dialysis catheter: a case report
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Rao Parnandi Bhaskar
Singh Neha
Samson Sumanth
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Abstract
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A 56-year-old man on maintenance hemodialysis was admitted to the intensive care unit with septic shock and coagulopathy. As there was a dialysis catheter in the right internal jugular vein, the left internal jugular vein was cannulated with a central venous catheter to initiate vasopressor therapy. A chest X-ray showed formation of a catheter loop inside the left brachiocephalic vein, probably due to hindrance by the dialysis catheter. This report describes the hurdles encountered, repeated cannulation attempts, and serial chest X-ray findings required to obtain acceptable placement of the catheter tip.
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KEYWORD
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Catheter malposition, Chest X-ray, Dialysis catheter
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