Inadvertent puncture of the thoracic duct during attempted central venous catheter placement

被引：4
|
作者：
Teichgraber, UKM
Nibbe, L
Gebauer, B
Wagner, HJ
机构：
[1] Humboldt Univ, Dept Radiol, Klinikum Berlin, D-13353 Berlin, Germany
[2] Humboldt Univ, Dept Internal Med & Nephrol, Klinikum Berlin, D-13353 Berlin, Germany
[3] Univ Marburg, Dept Radiol, Marburg, Germany
来源：
CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY | 2003年 / 26卷 / 06期
关键词：
central venous catheterization; thoracic duct; chylothorax;
D O I：
10.1007/s0270-003-0102-1
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
We report a case of puncture of the thoracic duct during left subclavian vein catheterization on the intensive care unit. Computed tomography and measurement of the triglyceride levels in the aspirated fluid proved the inadvertent penetration of the guidewire into the thoracic duct. Early recognition of central line misplacement avoided serious complications. Inadvertent central venous catheter placement into the thoracic duct may have the potential complications of infusion mediastinum and chylothorax.
引用
收藏
页码：571 / 573
页数：3
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