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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

Summary

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.

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Published on: January 24, 2012

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.