title: Accidental extravascular insertion of a subclavian hemodialysis catheter is signaled by nonvisualization of catheter tip.
abstract: Subclavian hemodialysis (HD) catheter placement under fluoroscopy with perforation of the superior vena cava (SVC) is a rare complication that needs to be recognized and treated appropriately. We report the case of a 47-year-old black woman under treatment for end-stage renal disease secondary to HIV-associated nephropathy who sustained an extravascular insertion of fluoroscopy-guided subclavian catheterization for HD. Subsequent successful removal of the extravascularly placed catheter along with repair of the lacerated SVC were effected by open thoracic surgery.
authors.affiliation: Department of Medicine, Renal Diseases Division, SUNY Downstate Medical Center, Brooklyn, New York 11203, USA. florescudc@yahoo.com
authors.forename: Marius C
authors.initials: MC
authors.lastname: Florescu
authors.forename: Albeir
authors.initials: A
authors.lastname: Mousa
authors.forename: Hatem
authors.initials: H
authors.lastname: Moussa
authors.forename: Moro
authors.initials: M
authors.lastname: Salifu
authors.forename: Eli A
authors.initials: EA
authors.lastname: Friedman
mesh_terms: D002404:Catheterization; D002405:Catheterization, Central Venous / Q000379:methods; D005260:Female; D005471:Fluoroscopy; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy*; D008875:Middle Aged; D006435:Renal Dialysis / Q000379:methods; D013350:Subclavian Vein / Q000000981:diagnostic imaging; D019616:Thoracic Surgical Procedures / Q000379:methods; D014683:Vena Cava, Superior / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*