Ultrasonographic diagnosis of catheter-induced combined subclavian and internal jugular vein thrombosis.
Catheter-induced subclavian and internal jugular vein thrombosis in a patient with unresectable ovarian carcinoma was diagnosed by sonography following subtle clinical symptomatology. Ultrasonographic diagnosis of central vein thrombosis offers applicable, noninvasive bedside diagnosis. The case we describe suggests that a low threshold should be maintained for application of this technique in the diagnosis of this potentially life-threatening complication, especially with the current widespread application of invasive monitoring.
Abulafia
O
O
Marshall University School of Medicine, Huntington, WVa, USA.
Sherer
D M
DM
DeEulis
T G
TG
D002277:Carcinoma / Q000188:drug therapy; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007601:Jugular Veins; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000188:drug therapy; D013350:Subclavian Vein; D013927:Thrombosis / Q000000981:diagnostic imaging*; D018615:Ultrasonography, Doppler, Color