Brachiocephalic Vein Injury Leading to Massive Hemothorax Following the Insertion of a Tunneled Dialysis Catheter Requiring Surgical Intervention for Repair: Report of a Rare Case

Dialysis catheters are commonly used tools for patients requiring hemodialysis. A dilator with a large caliber is used to insert such a catheter, which in turn can result in serious vascular injury leading to rare complications like hemothorax. Common treatment options for such vascular injuries comprise surgical repair by thoracotomy or video-assisted thoracoscopic surgery (VATS) and endovascular repair. We herein report a case of a brachiocephalic vein injury and massive right-sided hemothorax following the insertion of a tunneled dialysis catheter in the right internal jugular vein, treated successfully by our team at Square Hospitals Ltd.

[1]  A. Turkyilmaz,et al.  The Perforation of the Superior Vena Cava Secondary to the Left Subclavian Dialysis Catheter , 2017, Vascular and endovascular surgery.

[2]  A. Qureshi,et al.  Migration of a Central Venous Catheter in a Hemodialysis Patient Resulted in Left Atrial Perforation and Thrombus Formation Requiring Open Heart Surgery. , 2016, A & A case reports.

[3]  J. Teijink,et al.  Dialysis Catheter Placement via the Left Internal Jugular Vein: Risk of Brachiocephalic Vein Perforation , 2016, The journal of vascular access.

[4]  Xiaoqing Lu,et al.  Epidemiology of haemodialysis catheter complications: a survey of 865 dialysis patients from 14 haemodialysis centres in Henan province in China , 2015, BMJ Open.

[5]  Y. J. Kim,et al.  Iatrogenic Innominate Vein Injury by Hemodialysis Catheter, Successful Endovascular Repair , 2015, The journal of vascular access.

[6]  U. Pua Central vein perforation during tunneled dialysis catheter insertion: Principles of acute management , 2014, Hemodialysis international. International Symposium on Home Hemodialysis.

[7]  Sunil Abrol,et al.  Emergent Median Sternotomy for Mediastinal Hematoma: A Rare Complication following Internal Jugular Vein Catheterization for Chemoport Insertion—A Case Report and Review of Relevant Literature , 2014, Case reports in anesthesiology.

[8]  Y. Chia,et al.  Bedside ultrasonic detection of massive hemothorax due to superior vena cava perforation after hemodialysis catheter insertion. , 2009, Acta anaesthesiologica Taiwanica : official journal of the Taiwan Society of Anesthesiologists.

[9]  D. Bracco,et al.  Arterial trauma during central venous catheter insertion: Case series, review and proposed algorithm. , 2008, Journal of vascular surgery.

[10]  R. Kusminsky Complications of central venous catheterization. , 2007, Journal of the American College of Surgeons.

[11]  S. Kosuda,et al.  Internal mammary artery injury following subclavian vein catheterization , 2005, Emergency Radiology.

[12]  M. Taal,et al.  Venography at insertion of tunnelled internal jugular vein dialysis catheters reveals significant occult stenosis. , 2004, Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association.

[13]  H. Trivedi,et al.  Malplacement of Hemodialysis Permcatheter into Anterior Mediastinum Following Innominate Vein Perforation , 2012, Seminars in dialysis.

[14]  F. Baumgartner,et al.  Central venous injuries of the subclavian-jugular and innominate-caval confluences. , 1999, Texas Heart Institute journal.

[15]  J. Oropello,et al.  Dilator-associated complications of central vein catheter insertion: possible mechanisms of injury and suggestions for prevention. , 1996, Journal of cardiothoracic and vascular anesthesia.

[16]  C. Eynon,et al.  Complications and failures of subclavian-vein catheterization. , 1995, The New England journal of medicine.

[17]  Ç. Turgan,et al.  Mediastinal hematoma: a rare complication of subclavian catheterization for hemodialysis. , 1993, Nephron.

[18]  F. Schillinger,et al.  Post catheterisation vein stenosis in haemodialysis: comparative angiographic study of 50 subclavian and 50 internal jugular accesses. , 1991, Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association.