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[Perforation of the right ventricle by a central venous catheter (author's transl)]
Praktische Anasthesie, Wiederbelebung Und Intensivtherapie
|December 1, 1976
Insights
Iatrogenic cardiac perforations caused by subclavian catheters are rare but serious complications. These events can occur due to catheter migration or improper insertion, leading to fatal outcomes.
Area of Science:
- Cardiology
- Medical Device Safety
Background:
- Subclavian catheterization is a common medical procedure.
- Potential complications, though rare, require careful consideration.
Observation:
- Two cases of fatal iatrogenic cardiac perforations are presented.
- These perforations were associated with subclavian catheter use.
Findings:
- One case involved a subclavian catheter dislodged after 9 days, leading to perforation.
- The second case resulted from a polyvinyl catheter being introduced into the right ventricle.
Implications:
- Highlights the critical risks associated with prolonged or improperly placed central venous catheters.
- Emphasizes the need for vigilance in monitoring catheter position and preventing malpositioning to avoid life-threatening cardiac injury.
Abstract:
Two letal iatrogenic cardiac perforations by a subclavian catheter are reported. The cause of this rare but most serious complication is based on the sliding down of a subclavian catheter left in for 9 days in one case, in the other one on the introduction of a polyvinyl-catheter into the right ventricle.