Document Detail

Inadvertent puncture of the thoracic duct during attempted central venous catheter placement.
MedLine Citation:
PMID:  15061186     Owner:  NLM     Status:  MEDLINE    
We report a case of puncture of the thoracic duct during left subclavian vein catheterization on the intensive care unit. Computed tomography and measurement of the triglyceride levels in the aspirated fluid proved the inadvertent penetration of the guidewire into the thoracic duct. Early recognition of central line misplacement avoided serious complications. Inadvertent central venous catheter placement into the thoracic duct may have the potential complications of infusion mediastinum and chylothorax.
Ulf K M Teichgraber; Lutz Nibbe; Bernhard Gebauer; Hans-Joachim Wagner
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Cardiovascular and interventional radiology     Volume:  26     ISSN:  0174-1551     ISO Abbreviation:  Cardiovasc Intervent Radiol     Publication Date:    2003 Nov-Dec
Date Detail:
Created Date:  2004-04-05     Completed Date:  2004-04-30     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8003538     Medline TA:  Cardiovasc Intervent Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  569-71     Citation Subset:  IM    
Department of Radiology, Charité Campus Virchow-Klinikum Humboldt-Universität zu, Berlin, Augusten berger Platz 1, 13353 Berlin, Germany.
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MeSH Terms
Catheterization, Central Venous / adverse effects*
Middle Aged
Punctures / adverse effects*
Thoracic Duct / injuries*,  radiography

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

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