Fatal hemothorax caused by a subclavian hemodialysis catheter. Thoughts on prevention.
A 19-year-old woman died when a subclavian catheter that had provided vascular access for plasmapheresis penetrated her right atrium, pericardium, and parietal pleural, causing a hemothorax. Precautions are recommended to minimize the risk of this complication in patients in whom subclavian catheters are used as a vascular access route for hemodialysis or plasmapheresis.
D000328:Adult; D002404:Catheterization / Q000009:adverse effects*; D005260:Female; D006325:Heart Atria / Q000293:injuries; D006335:Heart Injuries / Q000209:etiology*; D006491:Hemothorax / Q000209:etiology*; D006801:Humans; D010956:Plasmapheresis; D006435:Renal Dialysis; D013350:Subclavian Vein