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Submitted: 04 Mar 2011
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J Cardiovasc Thorac Res. 2011;3(3): 97-99.
doi: 10.5681/jcvtr.2011.021
PMID: 24250963
PMCID: PMC3825333
  Abstract View: 1463
  PDF Download: 712

Case Report

Should a Double-Lumen Catheter be withdrawn?

Samad Shams Vahdati*
*Corresponding Author: Email: sshamsv@yahoo.com

Abstract

Haemodialysis needs a credible and recurrent access to the systemic circulation which can be accomplished by way of central vein catheterization. We report the case of bleeding after withdrawal of the double lumen catheter. A 36-year-old woman who was a known case of end-stage renal disease referred to a dialysis center because of her arteriovenous fistula malfunction. A double-lumen catheter was inserted via the right internal jugular vein but failed to become functional so in the emergency department we decided to with-drawal catheter under cardiac monitoring and pulse oximetry but unfortunately A few minutes after the withdrawal of the double lumen Catheter the patient became agitated and confused. The resuscitation team after infusing IV fluid and blood decided to emergent thoracotomy. We control bleeding by direct pressure and repaired a rupture of the posterior aspect of the right internal jugular and right subclavian vein junction. Six hours later she became alert and one week after discharged, she was in well general condition.
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