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Vol. 41. Issue 4.
Pages 262 (May 2017)
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Vol. 41. Issue 4.
Pages 262 (May 2017)
Images in Intensive Medicine
DOI: 10.1016/j.medine.2015.11.005
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Anomalous position of femoral dialysis catheters
Posición anómala de los catéteres femorales para diálisis
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D. Arias-Verdu, G. Seller-Pérez, M.E. Herrera Gutiérrez
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mehguci@gmail.com

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UCI Hospital Universitario Carlos Haya, Málaga, Spain
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A patient underwent CRRT throw a left femoral vein catheter (34cm–13.5F). Immediately after the insertion we detected problems in the circuit blood flow and the patient deteriorated. A CT scan showed the tip of the catheter in the left lumbar vein beside a retroperitoneal haematoma (Fig. 1). Another patient (same catheter and insertion technique) showed persistent blood flow problems and in a CT scan the catheter was detected in an accessory left hemiacygos vein and already visible in the plain abdominal X-ray (Fig. 2). Because presumably an eco-directed insertion would not have prevented these anomalous locations, in the event of serious flow problems, a radiologic exploration can help ruling out this unusual and scarcely reported malposition that demands immediate withdrawal of the catheter.

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The authors declare no conflict of interest concerning this manuscript.

Copyright © 2015. Elsevier España, S.L.U. and SEMICYUC
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Medicina Intensiva (English Edition)

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