title: Central venous catheter malposition due to dialysis catheter: a case report.
abstract: A 56-year-old man on maintenance hemodialysis was admitted to the intensive care unit with septic shock and coagulopathy. As there was a dialysis catheter in the right internal jugular vein, the left internal jugular vein was cannulated with a central venous catheter to initiate vasopressor therapy. A chest X-ray showed formation of a catheter loop inside the left brachiocephalic vein, probably due to hindrance by the dialysis catheter. This report describes the hurdles encountered, repeated cannulation attempts, and serial chest X-ray findings required to obtain acceptable placement of the catheter tip.
authors.affiliation: Department of Anesthesiology, Critical Care and Pain Medicine, All India Institute of Medical Sciences, Bhubaneswar, India.
authors.forename: Parnandi Bhaskar
authors.identifier: 0000-0001-7963-3895
authors.initials: PB
authors.lastname: Rao
authors.affiliation: Department of Anesthesiology, Critical Care and Pain Medicine, All India Institute of Medical Sciences, Bhubaneswar, India.
authors.forename: Neha
authors.initials: N
authors.lastname: Singh
authors.affiliation: Department of Anesthesiology, Pondicherry Institute of Medical Sciences, Pondicherry, India.
authors.forename: Sumanth
authors.initials: S
authors.lastname: Samson
keywords: Catheter malposition; Chest X-ray; Dialysis catheter