THROMBOTIC COMPLICATION OF CENTRAL VENOUS CATHETERISATION IN SUBCLAVIAN VEIN
Dr. Bharat Paliwal, Dr. Manoj Kamal, Dr. Anamika Purohit, Dr. Geeta Singaniya
Journal Title:Indian Journal of Clinical Anaesthesia
Central venous catheterization (CVC) has become an integral part for management of patients in intensive care units. It enables invasive monitoring, facilitate atrial pacing and permit delivery of parenteral alimentations and medications. Notwithstanding, CVCs are associated with numerous complications such as mechanical complications, infections and thrombotic complications. We presented a case of 17-year-old male patient who developed massive central venous thrombosis causing superior vena cava (SVC) syndrome after sequential placement of a right and left subclavian vein central venous catheter. Colour Doppler and Computed tomography (CT) angiography showed thrombosis of bilateral subclavian, internal jugular and axillary veins with minimal blood flow. Patient was treated with low molecular weight heparin (LMWH) and warfarin with partial recanalization of veins and resolution of symptoms.
Keywords: Central venous catheterization, Central venous thrombosis, superior vena cava syndrome.