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The entrapped central venous catheter

J Dhanani1, S Senthuran, R Olivotto

  • 1Department of Intensive Care Medicine, Royal Brisbane and Women's Hospital, Brisbane, Australia. j.lipman@uq.edu.au

British Journal of Anaesthesia
|November 1, 2006
PubMed

Insights

A rare complication occurred when a new central venous catheter (CVC) entrapped an existing one during insertion. Interventional radiology successfully removed the damaged CVC, highlighting risks of same-side CVC placement.

Area of Science:

  • Medical Devices
  • Interventional Radiology
  • Vascular Access

Background:

  • Central venous catheters (CVCs) are crucial for patient care but carry risks.
  • Complications during CVC insertion are common, necessitating careful technique.
  • Previous CVC placement can influence the safety of subsequent insertions.

Observation:

  • A novel complication is reported where an indwelling CVC was entrapped by a replacement CVC.
  • The entrapment occurred after the new catheter's introducer needle and guidewire speared the existing catheter.
  • Difficulty in removing the old catheter led to the diagnosis of entrapment.

Findings:

  • Interventional radiology was essential for diagnosing and resolving the CVC entrapment.
  • The specific mechanism of catheter entrapment was elucidated.
  • A successful removal procedure for the entrapped CVC was performed.

Implications:

  • This case highlights significant dangers associated with inserting a new CVC on the same side as a pre-existing one.
  • Awareness of this rare complication can improve patient safety during CVC procedures.
  • The findings underscore the importance of advanced imaging and interventional techniques in managing CVC-related issues.

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