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Malposition of central venous catheter in the left internal jugular vein--a case report

Mohammad Reza Khajavi1, Massoud Sedighi

  • 1Department of Anaesthesiology & Critical Care--Sina General Hospital Tehran University of Medical Sciences--Iran.

Middle East Journal of Anaesthesiology
|February 1, 2007
PubMed

Insights

Central venous catheter malposition can occur during catheterization. This case details a left internal jugular catheter inserted via the left external jugular vein, highlighting procedural nuances and reviewing literature on similar complications.

Area of Science:

  • Vascular Surgery
  • Medical Device Complications
  • Anatomy

Background:

  • Central venous catheterization is a common medical procedure.
  • Malposition of the catheter tip is a known complication.
  • Anatomical variations can influence catheter placement.

Observation:

  • A case of left internal jugular vein catheterization is presented.
  • The catheter was inserted via the left external jugular vein.
  • The specific technique and anatomical considerations are detailed.

Findings:

  • The central venous catheter was malpositioned.
  • The insertion route via the external jugular vein led to an unusual placement.
  • Literature review identified similar, though infrequent, malpositioning events.

Implications:

  • This case highlights the importance of anatomical knowledge during central venous catheterization.
  • Understanding alternative insertion routes and potential malpositions is crucial for patient safety.
  • Further vigilance is needed to prevent and manage catheter-related complications.

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