[Iatrogenic phlebothrombosis of the internal jugular vein after application of implantable central venous catheter].
We present a case report of a 56-year-old male patient diagnosed as B-cell non-Hodgkin lymphoma with iatrogenic phlebothrombosis of the right internal jugular vein after introduction of totally implantable venous catheter. He was admitted to the Clinic of Vascular Surgery at "St. Ekaterina" Hospital two weeks after the implantation complaining of pain and edema in the right cervical region, as well as ipsilateral blepharoptosis. The thrombus was removed operatively and revascularization of the vein was achieved. The patient was dismissed without clinical symptoms and with advice to continue his anticoagulant therapy. In this case we think that the most likely cause for the thrombosis of the internal jugular vein is the malposition of the catheter tip based on the observation that the device was not properly fixed to the skin and was found partly extracted. Routine heparinization proved to be insufficient for the prevention of thrombosis.
Govedarski
V
V
Genadiev
S
S
Zakhariev
T
T
D002408:Catheters, Indwelling / Q000009:adverse effects*; D004691:Endarterectomy / Q000379:methods*; D006801:Humans; D007049:Iatrogenic Disease; D007601:Jugular Veins / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome; D020246:Venous Thrombosis / Q000209:etiology / Q000601:surgery*