title: Subclavian vein injury and massive hemothorax requiring thoracotomy following insertion of tunneled dialysis catheter--a case report and review of literature.
abstract: Tunneled dialysis catheters are widely used for hemodialysis. Large caliber dilator is used for insertion of such catheter which can result in serious vascular injury leading to haemothorax. Here we report such an inadvertent central venous injury requiring thoracotomy following blind dilator advancement along with review of literature and recommendation to prevent such complication.
authors.affiliation: Sultan Qaboos University Hospital, Muscat, Oman.
authors.forename: Qutaiba A
authors.initials: QA
authors.lastname: Tawfic
authors.forename: Pradipta
authors.initials: P
authors.lastname: Bhakta
authors.forename: Ahmed Khamis
authors.initials: AK
authors.lastname: Mohammed
authors.forename: Jasvinder
authors.initials: J
authors.lastname: Sharma
mesh_terms: D002405:Catheterization, Central Venous / Q000009:adverse effects*; D002408:Catheters, Indwelling / Q000009:adverse effects; D005260:Female; D006491:Hemothorax / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy; D008875:Middle Aged; D006435:Renal Dialysis / Q000295:instrumentation*; D013350:Subclavian Vein / Q000293:injuries*; D013908:Thoracotomy / Q000379:methods*