Publication at Faculty of Medicine in Hradec Králové |
2010
Abstract
Femoral veins are not frequently used site for insertion of tunneled cuffed central venous catheters for hemodialysis. Similarly to catheters in thoracic veins, catheter tip may be incorrectly located.
This may result in malfunction of the catheter. We describe catheter insertion to femoral vein that resulted in unusual location of the catheter tip.
Because of insufficient function of the inserted catheter, skiascopy was performed. That revealed dislocation to left ascending lumbar vein.
Using guidewire the catheter was positioned to common iliac vein. Flebography confirmed right position of the catheter and also showed pathologically dilated collateral lumbar veins that may predispose to described wrong position of the catheter tip.