title: [Vena cava thrombosis: a rare complication in changing a central venous catheter].
abstract: Two cases of complete thrombosis of the superior vena cava are reported as rare complication of changing a catheter in heavily traumatised patients. Thromboses are frequent findings in pathological and radiological examinations, but clinically they become manifest only rarely. If a disease takes a severe course, thrombogenic factors may accumulate. Attention is drawn to the risk implied in changing a catheter especially in situations of marked cardiovascular depression, artificial respiration with a high positive end-expiratory pressure (PEEP) and if there are changes in coagulation physiology. These possible risks must be taken into consideration when performing a routine change of catheters.
authors.affiliation: Institut für Anästhesiologie der Universität Bonn.
authors.forename: P J
authors.initials: PJ
authors.lastname: Kulka
authors.forename: K
authors.initials: K
authors.lastname: Rommelsheim
mesh_terms: D000328:Adult; D001753:Blast Injuries / Q000628:therapy; D002405:Catheterization, Central Venous / Q000295:instrumentation*; D005260:Female; D006801:Humans; D007601:Jugular Veins; D008297:Male; D009104:Multiple Trauma / Q000628:therapy; D013350:Subclavian Vein; D013479:Superior Vena Cava Syndrome / Q000188:drug therapy / Q000209:etiology*; D014568:Urokinase-Type Plasminogen Activator / Q000008:administration & dosage
chemical_list: D014568:Urokinase-Type Plasminogen Activator
vernacular_title: Kavathrombose: Eine seltene Komplikation beim Wechsel eines zentralen Venenkatheters.