KMID : 0385920110220060764
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Journal of the Korean Society of Emergency Medicine 2011 Volume.22 No. 6 p.764 ~ p.767
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Pericardial Effusion after Central Venous Catheterization of Subclavian Vein
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Lee Sang-Bong
Kim Seong-Chun
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Abstract
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Central venous catheterization of a subclavian vein is commonly used in emergency departments for hemodynamic
monitoring of patients undergoing shock. Though central venous catheterization has many advantages, it can cause
various complications such as bleeding, pneumothorax, infection, or endocarditis. We report a 62-year-old female
who had a pericardial effusion complication caused by central venous catheterization of the right subclavian vein. A
computed tomography scan revealed a contrast-enhanced pericardium and catheter tubegraphy, which suggested the
malpositioning of the catheter tip in the pericardial space. After removing the central venous catheter, pericardial effusion
spontaneously resolved and the patient had no further adverse events from hemopericardium.
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KEYWORD
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Central venous catheterization, Pericardial effusion, Subclavian vein
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