Esophageal Perforation after Catheterization of the Subclavian Vein
DOI:
https://doi.org/10.1532/HSF98.20081045Abstract
The insertion of a central venous catheter (CVC) via the subclavian vein is often associated with complications. We report a case in which a patient suffered an esophageal lesion with severe bleeding and a pneumothorax with mediastinal shift induced by the insertion of the dilator of a CVC. The pneumothorax had to be treated immediately by pleural drainage, and the esophageal lesion was successfully corrected by means of an endoclip. The patient survived the complication. However, he died 1 week later from multiple organ failure not associated with the CVC insertion.References
Collignon P, Soni N, Pearson I, Sorrell T, Woods P. 1988. Sepsis associated with central vein catheters in critically ill patients. Intensive Care Med 14:227-31.nPearson ML. 1996. Guideline for prevention of intravascular device-related infections; part I: intravascular device-related infections: an overview. The Hospital Infection Control Practices Advisory Committee. Am J Infect Control 24:262-77.nPolderman KH, Girbes AJ. 2002. Central venous catheter use, part 1: mechanical complications. Intensive Care Med 28:1-17.n