Accidental cannulation of the left ascending lumbar vein through femoral access-still often unrecognized.
The femoral vein approach is considered to be a quick and safe route for venous access. However, severe complications can occur with this access because of misplacement. Our report describes the malposition of a large-bore dialysis catheter into the left ascending lumbar vein, which led to less effective hemodiafiltration. Clinicians should be aware of possible misplacement while inserting a femoral vein catheter, especially on the left side. In some cases, the correct position in the inferior vena cava needs confirmation before using the catheter.
Department of Surgery, University Medical Center Regensburg, Germany. ivan.goecze@ukr.de
Ivan
I
Göcze
Rene
R
Müller-Wille
Christian
C
Stroszczynski
Hans J
HJ
Schlitt
Thomas
T
Bein
D000368:Aged; D002404:Catheterization / Q000009:adverse effects* / Q000379:methods*; D002405:Catheterization, Central Venous / Q000009:adverse effects / Q000379:methods; D005268:Femoral Vein / Q000473:pathology*; D017583:Hemodiafiltration / Q000379:methods; D006801:Humans; D019300:Medical Errors; D017582:Renal Replacement Therapy / Q000379:methods; D013997:Time Factors; D014682:Vena Cava, Inferior / Q000473:pathology