title: Triple knotting of a central venous catheter.
abstract: A case of unusual triple knotting of a central venous catheter inserted through the left basilic vein is reported. The catheter with intact triple knots could be withdrawn without an invasive maneuver. A possible cause of triple knotting was discussed in regard to the anatomic configuration of the central veins. This case emphasizes that a central venous catheter should not be advanced if resistance is encountered.
authors.affiliation: Department of Anesthesiology, St. Louis University School of Medicine, MO 63104.
authors.forename: S
authors.initials: S
authors.lastname: Ikeda
authors.forename: L D
authors.initials: LD
authors.lastname: Shirley
authors.forename: J F
authors.initials: JF
authors.lastname: Schweiss
mesh_terms: D000328:Adult; D002405:Catheterization, Central Venous / Q000295:instrumentation*; D004868:Equipment Failure; D005260:Female; D006801:Humans