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Case report: central venous catheter fracture due to compression between the clavicle and first rib
W H Ramsden1, A T Cohen, K S Blanshard
1Department of Radiology, St James's University Hospital, Leeds.
Clinical Radiology
|January 1, 1995
Abstract:
A central venous catheter inserted via the subclavian route may be compressed by the clavicle and adjacent first rib. This appearance on a radiograph has been previously described as the 'pinch-off sign' and indicates the need to remove the catheter, due to a significant risk of subsequent fracture. A case and its management are presented, followed by discussion of the radiographic appearances and their cause.