Skip to main content
U.S. Department of Energy
Office of Scientific and Technical Information

Inadvertent Puncture of the Thoracic Duct During Attempted Central Venous Catheter Placement

Journal Article · · Cardiovascular and Interventional Radiology
 [1]; ;  [2]
  1. Charite Campus Virchow-Klinikum Humboldt-Universitaet zu Berlin, Berlin, Department of Internal Medicine and Nephrology (Germany)
  2. Charite Campus Virchow-Klinikum Humboldt-Universitaet zu, Berlin, Augusten berger Platz 1, 13353 Berlin, Department of Radiology (Germany)

We report a case of puncture of the thoracic duct during left subclavian vein catheterization on the intensive care unit. Computed tomography and measurement of the triglyceride levels in the aspirated fluid proved the inadvertent penetration of the guidewire into the thoracic duct. Early recognition of central line misplacement avoided serious complications. Inadvertent central venous catheter placement into the thoracic duct may have the potential complications of infusion mediastinum and chylothorax.

OSTI ID:
21088339
Journal Information:
Cardiovascular and Interventional Radiology, Journal Name: Cardiovascular and Interventional Radiology Journal Issue: 6 Vol. 26; ISSN 0174-1551; ISSN CAIRDG
Country of Publication:
United States
Language:
English

Similar Records

Closure Using a Surgical Closure Device of Inadvertent Subclavian Artery Punctures During Central Venous Catheter Placement
Journal Article · Wed Mar 14 23:00:00 EST 2001 · Cardiovascular and Interventional Radiology · OSTI ID:21083532

Managing Inadvertent Arterial Catheterization During Central Venous Access Procedures
Journal Article · Wed Jan 14 23:00:00 EST 2004 · Cardiovascular and Interventional Radiology · OSTI ID:21088309

Interventional Management of Massive Hemothorax Due to Inadvertent Puncture of an Aberrant Right Subclavian Artery
Journal Article · Tue Jul 15 00:00:00 EDT 2008 · Cardiovascular and Interventional Radiology · OSTI ID:21450395