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Related Experiment Videos

Spinal cord infarction following central-line insertion.

Andrew Williams1, Mark Little, Jeremy Gibbs

  • 1Department of Renal Medicine, The Lister Hospital, Stevenage, Hertfordshire, UK.

Renal Failure
|May 13, 2003
PubMed
Summary

Hemothorax after acute dialysis catheter insertion caused spinal cord infarction and quadriplegia. This rare complication may result from mediastinal shift affecting cord perfusion.

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Area of Science:

  • Nephrology
  • Vascular Surgery
  • Neurology

Background:

  • Hemothorax is a known complication of central venous catheterization.
  • Acute dialysis catheter insertion is a common procedure in patients with end-stage renal disease.

Observation:

  • A case of hemothorax occurred after acute dialysis catheter insertion.
  • This complication led to spinal cord infarction and subsequent quadriplegia.

Findings:

  • The extensive mediastinal shift following catheter insertion is postulated to cause venous stretching.
  • This venous stretching may lead to reduced spinal cord perfusion pressure and infarction.

Implications:

  • This case highlights a previously unreported complication of acute dialysis catheter insertion.

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  • Clinicians should be aware of this potential risk and monitor patients closely for neurological deficits.