alexa Videothoracoscopic-guided management of a central vein perforation during hemodialysis catheter placement.


Journal of Antivirals & Antiretrovirals

Author(s): Kuzniec S, Natal SR, Werebe Ede C, Wolosker N

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Abstract We present a case of the successful repair of an iatrogenic central vein lesion using a videothoracoscopic approach. The confluence of the right innominate vein and the superior vena cava was perforated during the placement of a right internal jugular vein long-term dialysis catheter. The misplacement of the tips of the catheter in the right pleural space was promptly observed. The catheter was removed under pleural videothoracoscopic vision while a tamponade was directly applied to the mediastinal perforation. Massive bleeding was prevented and the central vein perforation was treated successfully using a minimally invasive technique. Copyright © 2010 Society for Vascular Surgery. Published by Mosby, Inc. All rights reserved. This article was published in J Vasc Surg and referenced in Journal of Antivirals & Antiretrovirals

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