Cardiac tamponade complicating percutaneous catheterization of subclavian vein

Cardiac tamponade has not been reported previously as a complication of central venous pressure (CVP) monitoring catheters inserted via the percutaneous subclavian vein approach. In one patient perforation of the vein by the catheter resulted in the catheter lying free in the mediastinum. Deteriorat...

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Bibliographic Details
Published inSurgery Vol. 78; no. 2; p. 261
Main Authors Dosios, T J, Magovern, G J, Gay, T C, Joyner, C R
Format Journal Article
LanguageEnglish
Published United States 01.08.1975
Subjects
Cardiac Tamponade - etiology
Catheterization - adverse effects
Central Venous Pressure
Echocardiography
Female
Humans
Mediastinum
Middle Aged
Radiography, Thoracic
Subclavian Vein
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Summary:Cardiac tamponade has not been reported previously as a complication of central venous pressure (CVP) monitoring catheters inserted via the percutaneous subclavian vein approach. In one patient perforation of the vein by the catheter resulted in the catheter lying free in the mediastinum. Deterioration of the patient prompeted increasing infusion of fluids through this catheter with incresing cardiac compression. Relief was obtained after a thoracotomy. Ti is suggested that this complication may be recognized in the future and corrected without thoracotomy if radiopaque dye is infused through the CVP catheter.
ISSN:0039-6060