title: Correction of malposition of central venous catheter with 9-Fr introducer sheath assisted by mobile type diagnostic X-ray apparatus: a case report.
abstract: Central venous catheters provide long-term available vascular access. They are useful for central venous pressure monitoring, rapid fluid management, massive transfusion and direct cardiovascular medication, especially in operation. Central venous catheterization is usually performed by the landmark bedside technique without imaging guidance. The complications of central venous catheterization are frequent, which include malposition, pneumothorax, hemothorax, chylothorax, arterial puncture, hematoma, air embolism and infection. Malposition of a central venous catheter is not rare and may cause several complications such as malfunction of the catheter, default measurement of central venous pressure, catheter erosion, thrombophlebitis and cardiac tamponade. In this case, we report a malposition of central venous catheter with 9-Fr introducer sheath which is located in the right subclavian vein via ipsilateral internal jugular vein and the correction of this misplacement assisted by mobile type diagnostic X-ray apparatus (C-arm fluoroscope).
authors.affiliation: Department of Anesthesioloy and Pain Medicine, Eulji University School of Medicine, Daejeon, Korea.
authors.forename: Jaekyu
authors.initials: J
authors.lastname: Ryu
authors.affiliation: Department of Anesthesioloy and Pain Medicine, Eulji University School of Medicine, Daejeon, Korea.
authors.forename: Ji-Hyun
authors.initials: JH
authors.lastname: Yoon
authors.affiliation: Department of Anesthesioloy and Pain Medicine, Eulji University School of Medicine, Daejeon, Korea.
authors.forename: Eun-Joon
authors.initials: EJ
authors.lastname: Lee
authors.affiliation: Department of Anesthesioloy and Pain Medicine, Eulji University School of Medicine, Daejeon, Korea.
authors.forename: Chia An
authors.initials: CA
authors.lastname: Lee
authors.affiliation: Department of Anesthesioloy and Pain Medicine, Eulji University School of Medicine, Daejeon, Korea.
authors.forename: Seong Chang
authors.initials: SC
authors.lastname: Woo
authors.affiliation: Department of Anesthesioloy and Pain Medicine, Eulji University School of Medicine, Daejeon, Korea.
authors.forename: Chang-Young
authors.initials: CY
authors.lastname: Jeong
keywords: Catheterization; Internal jugular vein; Malposition; Subclavian vein