Información de la revista
Vol. 41. Núm. 4.
Páginas 262 (Mayo 2017)
Descargar PDF
Más opciones de artículo
Vol. 41. Núm. 4.
Páginas 262 (Mayo 2017)
Images in Intensive Medicine
Acceso a texto completo
Anomalous position of femoral dialysis catheters
Posición anómala de los catéteres femorales para diálisis
D. Arias-Verdu, G. Seller-Pérez, M.E. Herrera Gutiérrez
Autor para correspondencia

Corresponding author.
UCI Hospital Universitario Carlos Haya, Málaga, Spain
Este artículo ha recibido
Información del artículo
Texto completo
Descargar PDF
Figuras (2)
Texto completo

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.

Figure 1
Figure 2
Conflict of interest

The authors declare no conflict of interest concerning this manuscript.

Copyright © 2015. Elsevier España, S.L.U. y SEMICYUC
Medicina Intensiva
Opciones de artículo
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?