PMC6375025_01
Chest X ray showing the course of dialysis catheter. The catheter has perforated the left innominate vein and the tip is lying in the mediastenum
IJN-29-42-g001.jpg
PMC6375025_01_IJN-29-42-g001.jpg
F1
A post-procedure chest X-ray showed the catheter to have coursed normally, through left IJV, but at the junction of the left internal jugular and subclavian vein it had perforated the left innominate vein and the tip of the catheter was lying in the mediastenum [Figure 1].
Chest X ray showing the position of the stent graft (arrow). Also seen is a right IJV tunneled catheter which was placed on a later date
IJN-29-42-g002.jpg
PMC6375025_01_IJN-29-42-g002.jpg
F2
The left IJV dialysis catheter was pulled out and the stent graft simultaneously advanced to the site of perforation and deployed [Figure 2].