CONTEXT Whether venous catheterization at the femoral site is associated with an increased risk of complications compared with that at the subclavian site is debated. OBJECTIVE To compare mechanical, infectious, and thrombotic complications of femoral and subclavian venous catheterization. DESIGN AND SETTING Concealed, randomized controlled clinical trial conducted between December 1997 and...

BACKGROUND We report a case of surgical central venous port system implantation using Seldinger's technique with a life-threatening mediastinal hematoma due to the perforation of the superior vena cava. CASE REPORT A 68-year-old woman was admitted to our institution for port implantation. Open access to the cephalic vein and 2 punctures of the right subclavian vein were unsuccessful. Finally,...

Complications during insertion of a subclavian central venous line are rare but potentially serious. This case report describes the radiological abnormality of a one-sided pleural effusion during a routine control directly after a difficult central venous catheterization. We illustrate the findings, the initial emergency management, and our procedure to rule out an iatrogenic hemothorax. Possib...

Central venous pressure measurement may be misleading in selective left heart failure and in patients with high pulmonary vascular resistance. More direct information about pulmonary venous pressure and left heart filling pressures may be obtained by catheterization of the pulmonary artery with flow-directed balloon catheters. The use of such catheters, without radiographic control, by those in...

Accidental subclavian artery cannulation is an uncommon but potentially serious complication of central venous catheterization. Removal of a catheter inadvertently placed in the subclavian artery can lead to substantial bleeding, as achieving hemostasis in this area through manual compression presents considerable difficulty. Additionally, surgical treatment might be unsuitable for high-risk pa...

PURPOSE Postoperative brachial plexus lesion has been reported only rarely after catheterization of the right internal jugular vein (RIJV), and then is usually considered to be the result of puncture hematoma. CLINICAL FEATURES We here present the case of plexus brachialis injury after catheterization of the RIJV with ultrasonography showing direct compression of the plexus brachialis by a ce...

BACKGROUND The complication rate of central venous catheterization ranges from 4% to 35%. Brachial plexus injury can occur, mostly on the same side as the catheterization, without affecting the contralateral brachial plexus. CASE REPORT A 71-year-old woman received placement of a vein hemodialysis catheter via right internal jugular vein. Five days after the cannulation, she complained of contr...

Stroke after internal jugular venous cannulation typically leads to acute carotid or vertebral arteries injury and cerebral ischemia. We report the first case of delayed posterior cerebral infarction following loss of guide wire after left internal jugular venous cannulation in a 46-year-old woman with a history of inflammatory bowel disease. Our observation highlights that loss of an intravasc...

background: central venous catheters (cvcs) are used not only as a tool to access to central venous system, but also for hemodynamic monitoring, parenteral nutrition, chemotherapy and hemodialysis. the use of cvcs is associated with some complications notably infections that are troublesome both to patient and physician. we conducted this study to examine catheter fixation with skin fold techni...

BACKGROUND Central venous catheterization is done frequently in cardiac surgery and intensive care settings. Faulty positioning of the catheter can cause many complications. OBJECTIVES The aim of our study was to study the average depth of insertion and formulate a general guideline through the right internal jugular vein (IJV). PATIENTS AND METHODS The right IJV was cannulated over a perio...