Therapeutic strategy of central vein perforation accompanied by a mediastinal lesion after catheterization.
Central vein perforation associated with a mediastinal lesion is a rare complication of catheterization. A 50-year-old woman was diagnosed with chronic kidney disease and required hemodialysis treatment. The patient developed central vein injury during attempted placement of a double-channel catheter. A computed tomographic scan and venography showed that the catheter had punctured the mediastinum from the central vein. After comprehensive assessment and multidisciplinary consultation, percutaneous catheter thrombin injection with follow-up balloon dilatation under fluoroscopy guidance successfully fixed the perforation. We summarize the therapeutic strategy of this complication and other treatment options, and discuss the related literature of central vein injury.
['Li|Chi-Chang|CC|', 'Zhang|Wei|W|https://orcid.org/0000-0001-5574-622X', 'Wu|Xing-Jie|XJ|', 'Bu|Yang|Y|', 'Zheng|Zhi-Peng|ZP|']
D002404:Catheterization D062905:Central Venous Catheters D005260:Female D006801:Humans D008482:Mediastinum D008875:Middle Aged D011379:Prognosis D006435:Renal Dialysis D051436:Renal Insufficiency, Chronic D057772:Vascular System Injuries
Catheterization kidney disease hemodialysis central vein injury mediastinum thrombin hemorrhage