Misplaced Internal Juglar Vein Central Venous Catheter due to Thrombosis in Subclavian Vein: A Rare OccurrenceCorrespondence Address :
Dr. Sameer Sethi,
Additional Professor, Department of Anaesthesia and Intensive Care,
Post Graduate Institute of Medical Education and Research (PGIMER), Sector 12, Chandigarh-160012, India.
Here, Authors report a case of Central Venous Catheter (CVC) malposition in a patient posted for Whipple’s procedure. A 65-year-old male diagnosed with carcinoma head of pancreas, post chemotherapy was posted for Whipple’s procedure. Ultrasound (USG) guidance CVC line and arterial cannula placement were planned for invasive monitoring and administration of fluids and drugs postoperatively. A postoperative chest radiograph was done which showed that the CVC was malpositioned into the subclavian vein. The venography delineated a clot at the junction of the Internal Jugular Vein (IJV) and the Subclavian Vein (SCV). It was further concluded that presence of this thrombus at the junction of both the vessels prevented the movement of the guidewire towards the Superior Vena Cava (SVC) and therefore the catheter into the SVC. This case report highlights the use of USG not only to visualise the target vessel but also to scan completely till the junction SVC and right atrium for any clot or anatomic malformations in the vasculature.
Complications of central venous catheters, Misdirected catheters, Ultrasound, Venous thrombosis
Sameer Sethi, Deepanshu Dhiman, Kaman Lileswar, Kaptan Singh. MISPLACED INTERNAL JUGLAR VEIN CENTRAL VENOUS CATHETER DUE TO THROMBOSIS IN SUBCLAVIAN VEIN: A RARE OCCURRENCE. Journal of Clinical and Diagnostic Research [serial online] 2019 September [cited: 2019 Aug 20 ]; 13:UD01-UD02. Available from
Date of Submission: May 02, 2019
Date of Peer Review: Jun 07, 2019
Date of Acceptance: Jun 19, 2019
Date of Publishing: Sep 01, 2019
FINANCIAL OR OTHER COMPETING INTERESTS: None.
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