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

Yasushi Innami, Tomoko Oyaizu, Takashi Ouchi, Naoji Umemura, Toshiya Koitabashi

Research output: Contribution to journalArticle

13 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)135-138
Number of pages4
JournalJournal of Anesthesia
Volume23
Issue number1
DOIs
Publication statusPublished - 2009 Mar 6

Keywords

  • Central venous catheterization
  • Guidewire
  • Hemothorax

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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