Document Detail


Arterial misplacement of a femoral central venous catheter complicated with acute arterial occlusion.
MedLine Citation:
PMID:  15813248     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Femoral vein catheterization is often carried out during resuscitation and in critical care units. It is usually achieved via a blind, external landmark-guided technique, through manual localization of the femoral artery. However, this approach can be challenging in patients with severe shock because of absence or ambiguity of the arterial pulse. We report a case of inadvertent cannulation, with a large-bore catheter, of the right femoral artery, which was mistaken as a venous route for medication and massive transfusion. The large cannula caused direct mechanical obstruction, while intra-arterial medications induced vascular injury and vasospasm. Both factors led to thrombosis and occlusion of the right external iliac artery, thus jeopardizing the distal blood supply, and ultimately resulting in muscle necrosis of the involved limb, and the need for thrombectomy and extensive fasciotomy to salvage the extremity. This case highlights that correct placement of a central venous catheter should be clearly ascertained before the catheter is used for medical treatment, especially when catheterization is performed in shock status.
Authors:
Hung-Lung Hung; Kuo-Yung Chao; Li-Ming Tseng; Fang-Ming Hung; Tak-Yu Lee
Related Documents :
15064268 - Trendelenburg position, head elevation and a midline position optimize right internal j...
16548318 - Prospective nonrandomized trial of silver impregnated cuff central lines.
490688 - The relationship of central venous and pulmonary artery catheter position to acute righ...
9304728 - Long-term venous access: indications and choice of site and catheter.
25405948 - Transcatheter closure of an unligated vertical vein with an amplatzer vascular plug-ii ...
10969758 - Premature depolarization concealed in two pulmonary veins.
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of the Chinese Medical Association : JCMA     Volume:  68     ISSN:  1726-4901     ISO Abbreviation:  J Chin Med Assoc     Publication Date:  2005 Mar 
Date Detail:
Created Date:  2005-04-07     Completed Date:  2005-04-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101174817     Medline TA:  J Chin Med Assoc     Country:  China (Republic: 1949- )    
Other Details:
Languages:  eng     Pagination:  138-41     Citation Subset:  IM    
Affiliation:
Department of Anesthesiology, Far-Eastern Memorial Hospital, Panchiao, Taipei, R.O.C. hung9753@yahoo.com.tw
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Arterial Occlusive Diseases / etiology*,  surgery
Catheterization, Central Venous / adverse effects*
Female
Femoral Artery*
Femoral Vein
Humans
Iliac Artery*
Middle Aged
Thrombectomy
Thrombosis / etiology*,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Detection of subarachnoid hemorrhage at acute and subacute/chronic stages: comparison of four magnet...
Next Document:  Localized amyloid deposition in the nasopharynx and neck, mimicking nasopharyngeal carcinoma with ne...