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Journal of Anesthesia

, Volume 23, Issue 1, pp 135–138 | Cite as

Life-threatening hemothorax resulting from right brachiocephalic vein perforation during right internal jugular vein catheterization

  • Yasushi Innami
  • Tomoko Oyaizu
  • Takashi Ouchi
  • Naoji Umemura
  • Toshiya Koitabashi
Clinical Report

Abstract

We present a life-threatening case of hemothorax resulting from right brachiocephalic vein perforation during right internal jugular vein catheterization. We considered that the guidewire had punctured the right brachiocephalic vein extraluminally and the catheter inserted over the guidewire had enlarged the size of the perforation. Despite the use of proper technique, an angle-tip guidewire may perforate the venous wall. Therefore, when there is negative aspiration after central venous catheterization, it is important to perform an emergency chest radiograph before proceeding with surgery; it is also important not to use an angle-tip guidewire.

Key words

Central venous catheterization Guidewire Hemothorax 

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Copyright information

© Japanese Society of Anesthesiologists 2009

Authors and Affiliations

  • Yasushi Innami
    • 1
  • Tomoko Oyaizu
    • 1
  • Takashi Ouchi
    • 1
  • Naoji Umemura
    • 1
  • Toshiya Koitabashi
    • 1
  1. 1.Department of Anesthesiology, Ichikawa General HospitalTokyo Dental CollegeChibaJapan

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