title: Delayed perforation of the innominate vein during hyperalimentation.
abstract: Mechanical complications of central vein catheterization for hyperalimentation typically become manifest shortly after insertion. We present a case report describing a delayed innominate vein perforation by a central venous catheter. Use of the adult internal jugular vein for central venous catheterization should be limited to situations in which a subclavian vein is unavailable. Ongoing watchfulness and a vigorous diagnostic and therapeutic approach to such complications are mandatory in the treatment of patients receiving total parenteral nutrition.
mesh_terms: D016121:Brachiocephalic Veins / Q000293:injuries*; D002404:Catheterization / Q000009:adverse effects*; D005260:Female; D006801:Humans; D006876:Hydrothorax / Q000209:etiology; D008875:Middle Aged; D010288:Parenteral Nutrition / Q000009:adverse effects*; D010289:Parenteral Nutrition, Total / Q000009:adverse effects*; D012421:Rupture