Sakan Sanja, Basić-Jukić Nikolina, Kes Petar, Stern-Padovan Ranka, Perić Mladen
Department of Anesthesiology, Resuscitation and Intensive Care, Zagreb University Hospital Center, Zagreb, Croatia.
Acta Clin Croat. 2011 Dec;50(4):623-6.
A 68-year-old Caucasian woman was admitted to the Department for construction of vascular access for dialysis after thrombosis of arteriovenous fistula. Temporary dialysis catheter was inserted in the left internal jugular vein while she had permanent pacemaker implanted on the right thoracic side. The patient signalized pain in the left breast. Postprocedural chest x-ray revealed that the catheter was malpositioned in the right internal mammary vein. The catheter was immediately pulled out and temporary catheter was inserted in the left femoral vein. Malposition of central venous catheter into small tributaries of central vein is a rare complication which can be hazardous and needs to be quickly recognized.
一名68岁的白种女性因动静脉内瘘血栓形成后入住该科室进行透析血管通路构建。在她右侧胸部植入永久性起搏器的同时，在左颈内静脉插入了临时透析导管。患者主诉左乳疼痛。术后胸部X光显示导管误置于右乳内静脉。导管立即被拔出，并在左股静脉插入临时导管。中心静脉导管误置于中心静脉的小分支是一种罕见的并发症，可能具有危险性，需要迅速识别。
