Indian Journal of Critical Care Case Report

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VOLUME 2 , ISSUE 3 ( May-June, 2023 ) > List of Articles

CASE REPORT

The Central Venous Catheter that Took a Wrong Stroll

Priyadharshini Ramakrishnan, Sasi Mayukha Challa Venkat, Chandrasekhar Ethiraj, Balasubramaniam Palanisamy, Balaji Venkatachalam

Keywords : Central venous catheter, Central venous cannulation, Internal jugular vein

Citation Information : Ramakrishnan P, Venkat SM, Ethiraj C, Palanisamy B, Venkatachalam B. The Central Venous Catheter that Took a Wrong Stroll. 2023; 2 (3):55-58.

DOI: 10.5005/jp-journals-11006-0048

License: CC BY-NC 4.0

Published Online: 26-06-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Abstract

Central venous catheter (CVC) insertion is one of the most commonly performed procedures in anesthesia and critical care medicine practice in order to ease the administration of intravenous (IV) medications and hemodialysis as well. CVC misplacement can occur, even in expert hands, despite the widespread use of ultrasound (USG) guidance. Such catheterization sometimes comes with risks of unpremeditated puncture of other vascular structures and pleura or other nearby structures, causing serious life-threatening complications.1 CVC insertion using USG guidance has remarkably reduced the complications associated with anatomical disruptions.2 Nevertheless, the catheter could still get misplaced if it follows an aberrant route even after proper puncture of the desired vessel. In order to highlight the rare complications that could occur with CVC placements, we report a case describing the CVC misplacement into the innominate artery extending into the anterior end of the arch of the aorta and subsequent patient management requiring a sternotomy.


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