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Mediastinal haematoma caused by subclavian catheterisation for haemodialysis

T Masud1, J S Tapson

  • 1Renal Unit, Royal Victoria Infirmary, Newcastle-upon-Tyne, U.K.

A 59 year old woman developed a mediastinal haematoma after placement of a subclavian haemodialysis catheter. Vascular perforation by the guide wire used during catheterisation was the probable cause. The use of guide wires with a flexible J-shaped terminal portion is recommended to minimise this risk.

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