Life-threatening hemothorax resulting from right brachiocephalic vein perforation during right internal jugular vein catheterization.

Abstract:

:We present a life-threatening case of hemothorax resulting from right brachiocephalic vein perforation during right internal jugular vein catheterization. We considered that the guidewire had punctured the right brachiocephalic vein extraluminally and the catheter inserted over the guidewire had enlarged the size of the perforation. Despite the use of proper technique, an angle-tip guidewire may perforate the venous wall. Therefore, when there is negative aspiration after central venous catheterization, it is important to perform an emergency chest radiograph before proceeding with surgery; it is also important not to use an angle-tip guidewire.

journal_name

J Anesth

journal_title

Journal of anesthesia

authors

Innami Y,Oyaizu T,Ouchi T,Umemura N,Koitabashi T

doi

10.1007/s00540-008-0696-1

subject

Has Abstract

pub_date

2009-01-01 00:00:00

pages

135-8

issue

1

eissn

0913-8668

issn

1438-8359

journal_volume

23

pub_type

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