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Case Reports
. 2024 Jul 4;16(7):e63872.
doi: 10.7759/cureus.63872. eCollection 2024 Jul.

Rare Central Venous Catheter Malpositions: A Case Series

Büşra Tanyıldızı  1
Affiliations
Case Reports

Rare Central Venous Catheter Malpositions: A Case Series

Büşra Tanyıldızı. Cureus. .

Abstract

Central venous catheters are a procedure that provides vascular access, allowing the application of various clinical treatments and the measurement of some hemodynamic values. It provides access to the internal jugular vein, subclavian vein, and, femoral vein with a large-bore catheter. There are mechanical, infectious, and thromboembolic complications resulting from central venous catheter placement and care. Central venous catheter malposition is a rare catheter complication that may be encountered. The location of the central venous catheter can be evaluated with imaging techniques such as posteroanterior chest radiograph, ultrasonography, central venous catheter waveform, and transesophageal echocardiography. Five malposition cases detected by imaging after the central venous catheter procedure in our clinic are presented.

Keywords: central venous catheter; chest x ray; intensive care; malposition; ultrasound-guided.

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Conflict of interest statement

Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

Figures

Figure 1
Figure 1. CVC transition from the right subclavian vein to the left brachiocephalic vein on chest radiograph imaging.
The star symbol shows the tip of the catheter. CVC: central venous catheter
Figure 2
Figure 2. CVC transition from the right subclavian vein to the right internal jugular vein on chest radiograph imaging.
The star symbol shows the tip of the catheter. CVC: central venous catheter
Figure 3
Figure 3. Transition from the right subclavian vein to the right internal jugular vein on chest X-ray imaging.
The star symbol shows the tip of the catheter.
Figure 4
Figure 4. Transition from the left subclavian vein to the left internal jugular vein on chest X-ray imaging.
The star symbol shows the tip of the catheter.
Figure 5
Figure 5. Kink of the catheter in the internal jugular vein on chest X-ray imaging, return from the right brachiocephalic vein to the left brachiocephalic vein.
The star symbol shows the tip of the catheter.
Figure 6
Figure 6. Transition of the catheter from the right subclavian vein to the right internal jugular vein on chest X-ray imaging.
The star symbol shows the tip of the catheter.
See this image and copyright information in PMC

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