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Late venous laceration after inappropriate placement of a left internal jugular hemodialysis catheter: a case report.


ABSTRACT: Central venous catheterization is a necessary and common method of building the circulation pathways of patients with end-stage kidney disease. Venous rupture is a severe and fatal complication of central venous catheterization. We herein present a case of slowly occurring venous rupture after reinsertion of a left internal jugular vein (IJV) catheter. A man in his early 70s was hospitalized with end-stage kidney disease. We inserted a hemodialysis catheter through the left IJV. A short section of the patient's catheter slipped out 1 month later. The original catheter was reinserted at its primary position without a guidewire. The patient reported chest pain and developed hypotension during dialysis the next day. He underwent femoral venous catheter insertion and heparin-free dialysis. The

SUBMITTER: Hu X 

PROVIDER: S-EPMC9044788 | biostudies-literature | 2022 Apr

REPOSITORIES: biostudies-literature