Incidental ipsilateral subclavian vein catheterization via right internal jugular venous route: A case report

Kim, Minsung; Lee, Jong yeon; Yun, Wan Seop; Park, Chung Hyun; Song, Ji Eun; Choi, Seok Hwan

Case Report

Cardiothoracic and Vascular Anesthesia

Anesthesia and Pain Medicine 2012;7(1):38-40.
Published online January 31, 2012.

Incidental ipsilateral subclavian vein catheterization via right internal jugular venous route: A case report

Minsung Kim, Jong yeon Lee, Wan Seop Yun, Chung Hyun Park, Ji Eun Song, Seok Hwan Choi

Department of Anesthesiology, CHA Bundang Medical Center, CHA University, Seongnam, Korea. mdmax00@kornet.net

Abstract

Central venous catheterization is frequently performed for perioperative management and intravenous access. However, the complications of central venous catheterization are numerous and include malposition, pneumothorax, hemothorax, chylothorax, thrombosis, extravasation of the infusate and infection. Although the malpositioning of the central venous catheter has been widely reported, there are few reports of ipsilateral subclavian vein catheterization via the right internal jugular venous route. In this case, we describe a misplacement of a right internal venous catheterization into the ipsilateral subclavian vein and suggest the possible causative factors.

Key Words: Central venous catheterization, Internal jugular vein, Subclavian vein malposition