Accidental cannulation of a femoral central venous catheter into the iliolumbar vein: incidental detection by bone scintigraphy

Central venous catheterization at the femoral site is associated with higher complication rates of infections and thrombosis than at the jugular or subclavian sites. However, the procedure of insertion at the femoral site is considered safer. We present a unique but dangerous positioning of a left f...

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Bibliographic Details
Published inClinical nuclear medicine Vol. 40; no. 2; p. 182
Main Authors Shinoda, Koichiro, Taki, Hirofumi, Hounoki, Hiroyuki, Tsuda, Reina, Tobe, Kazuyuki
Format Journal Article
LanguageEnglish
Published United States 01.02.2015
Subjects
Bone and Bones - diagnostic imaging
Catheterization, Central Venous - adverse effects
Central Venous Catheters
Female
Humans
Incidental Findings
Medical Errors
Middle Aged
Radionuclide Imaging
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Summary:Central venous catheterization at the femoral site is associated with higher complication rates of infections and thrombosis than at the jugular or subclavian sites. However, the procedure of insertion at the femoral site is considered safer. We present a unique but dangerous positioning of a left femoral central venous catheter into the iliolumbar vein. We were aware of this accidental cannulation by chance when our patient underwent bone scintigraphy. Although a few cases were reported about accidental cannulation into the ascending lumbar vein, this is the first case where a femoral central venous catheter was misplaced into the iliolumbar vein.
ISSN:1536-0229
DOI:10.1097/RLU.0000000000000551