Vascular access challenge on a patient with cerebral palsy and severe kyphoscoliosis.
Publication/Presentation Date
1-1-2010
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.
Volume
11
Issue
1
First Page
66
Last Page
68
ISSN
1129-7298
Published In/Presented At
Leung, S., Malhotra, A. D., & Eisen, L. A. (2010). Vascular access challenge on a patient with cerebral palsy and severe kyphoscoliosis. The journal of vascular access, 11(1), 66–68. https://doi.org/10.1177/112972981001100114
Disciplines
Diagnosis | Medicine and Health Sciences | Other Analytical, Diagnostic and Therapeutic Techniques and Equipment | Radiology
PubMedID
20119920
Department(s)
Department of Radiology and Diagnostic Medical Imaging
Document Type
Article