Abstract
We report a case of vascular assess challenge on a patient with severe kyphoscoliosis and joint contractures. Multiple internal jugular (IJ) central venous catheters (CVC) and a peripherally inserted central catheter (PICC) catheterization were attempted via ultrasound guidance and all resulted in malposition. the picc attempt fortuitously pushed a malpositioned IJ into the correct position. computed tomography (CT) demonstrated a narrow thoracic inlet with no definite venous stenoses. therefore, severe chest wall deformity, a narrow thoracic inlet and inadequate positioning of the patient secondary to his contractures all contributed to the malposition of the PICC and CVCs.
Original language | English (US) |
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Pages (from-to) | 66-68 |
Number of pages | 3 |
Journal | Journal of Vascular Access |
Volume | 11 |
Issue number | 1 |
DOIs | |
State | Published - 2010 |
Keywords
- Central venous catheter
- Peripherally inserted central catheter
- Scoliosis
ASJC Scopus subject areas
- Surgery
- Nephrology