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Radiologisch auffälliger Befund nach Anlage eines zentralen Venenkatheters

Abnormal x-ray finding after central venous catheterization

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Zusammenfassung

Verschiedenste Komplikationen bei der Anlage eines zentralen Venenkatheters sind bekannt. Im Folgenden wird von einem radiologisch auffälligen Befund nach Katheteranlage berichtet. Es wurde der Verdacht geäußert, dass ein abgescherter Teil des Seldinger-Drahts im Patienten verblieben sein könnte. Dies konnte durch den katheterisierenden Anästhesisten ausgeschlossen werden. Radiologisch wurde nachgewiesen, dass im Katheter enthaltene röntgendichte Polyurethanstifte für den Befund verantwortlich waren.

Abstract

Central venous catheter placement can cause a variety of complications, such as catheter fracture, loss of the guide wire and embolization. In the case reported a large bore central venous catheter was used in a 32-year-old patient undergoing surgery for vertebral body fracture of the thoracic spine. After a complication-free surgical procedure the post-operative x-ray showed an abnormal finding. A piece of the guide wire was suspected to have been left in the patient. However, this possibility could be ruled out by the anesthesiologist who inserted the catheter. With an additional x-ray and CT scan of an identical catheter it could then be demonstrated that the abnormal finding was caused by polyurethane pins which are integrated in the catheter.

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Authors and Affiliations

  1. Klinik für Anästhesiologie, Intensivmedizin und Schmerztherapie, Klinikum der J. W. Goethe-Universität, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Deutschland

    G. Lotz DESA, B. Schoenes & K. Zacharowski

  2. Institut für diagnostische und interventionelle Radiologie, Klinikum der J. W. Goethe-Universität, Frankfurt am Main, Deutschland

    K. Eichler

Authors
  1. G. Lotz DESA
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  2. B. Schoenes
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  3. K. Eichler
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  4. K. Zacharowski
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Correspondence to G. Lotz DESA.

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Lotz, G., Schoenes, B., Eichler, K. et al. Radiologisch auffälliger Befund nach Anlage eines zentralen Venenkatheters. Anaesthesist 60, 132–134 (2011). https://doi.org/10.1007/s00101-010-1827-2

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  • DOI: https://doi.org/10.1007/s00101-010-1827-2

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