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Malfunction of a central venous multilumen access catheter caused by kinking: A case report

Ho Bum Cho1, Sang Hyun Kim, Jae Hwa Yoo

  • 1Department of Anesthesiology and Pain Medicine, Soonchunhyang University Hospital Seoul, Yongsan-gu, Seoul Department of Anesthesiology and Pain Medicine, Soonchunhyang University Hospital Cheonan, Cheonan, Chungcheongnam-do, Korea.

Medicine
|July 26, 2018
PubMed
Abstract

Insights

Kinking of large-bore multilumen access catheters (MACs) can lead to malfunction, even when initial assessments suggest misplacement. Awareness of this complication is crucial for anesthesiologists managing patients with these devices.

Area of Science:

  • Medical Devices
  • Catheter Technology
  • Patient Safety

Background:

  • Multilumen access catheters (MACs) are designed to prevent kinking and collapsing.
  • Catheter misplacement is a common complication associated with MACs.

Observation:

  • A 59-year-old male patient presented with hemoperitoneum secondary to a liver laceration following a fall.
  • Initial attempts to aspirate blood through the 12-gauge line of the MAC failed, suggesting misplacement, despite normal ultrasonographic findings.

Findings:

  • Post-removal examination revealed kinking in the distal portion of the multilumen access catheter as the cause of the malfunction.
  • The kinking issue was identified after the active bleeding was controlled and the catheter was removed.

Implications:

  • Anesthesiologists and healthcare providers must consider catheter kinking as a potential cause of malfunction in large-bore catheters, including MACs.
  • This case highlights the importance of thorough diagnostic evaluation beyond initial imaging to identify device-related complications.

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