Document Detail

Spinal cord infarction following central-line insertion.
MedLine Citation:
PMID:  12739841     Owner:  NLM     Status:  MEDLINE    
Hemothorax is a recognized complication of central line insertion into the jugular or subclavian vein. We describe a case of hemothorax consequent upon acute dialysis catheter insertion, which resulted in spinal cord infarction and quadriplegia. We postulate that the extensive mediastinal shift induced after insertion of the catheter resulted in stretching of the veins draining the cord with a resultant drop in perfusion pressure and infarction. This case highlights a hitherto unreported complication of this procedure.
Andrew Williams; Mark Little; Jeremy Gibbs; Paul Warwicker; Ken Farrington
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Renal failure     Volume:  25     ISSN:  0886-022X     ISO Abbreviation:  Ren Fail     Publication Date:  2003 Mar 
Date Detail:
Created Date:  2003-05-12     Completed Date:  2003-08-22     Revised Date:  2008-05-21    
Medline Journal Info:
Nlm Unique ID:  8701128     Medline TA:  Ren Fail     Country:  United States    
Other Details:
Languages:  eng     Pagination:  327-9     Citation Subset:  IM    
Department of Renal Medicine, The Lister Hospital, Stevenage, Hertfordshire, UK.
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MeSH Terms
Catheterization, Central Venous / adverse effects*
Hemothorax / diagnosis*,  etiology*,  therapy
Infarction / diagnosis*,  etiology*,  therapy
Kidney Failure, Chronic / therapy*
Middle Aged
Quadriplegia / etiology*
Renal Dialysis / adverse effects*
Spinal Cord / blood supply*

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