PMC9386129_01
Intra-procedural fluoroscopy.
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F1
The catheter was secured in place with a subcutaneously anchored securement device (Figure 1).
Chest x-ray showing dislocated tip of the catheter and bilateral pleural effusion.
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F2
A chest x-ray showed dislocated catheter and bilateral pleural effusion (Figure 2); the CT scan proved the tip of the catheter had transfixed the medial wall of the right jugular vein, entering the mediastinum.
CT scan showing dislocated tip of the catheter, pneumomediastinum and bilateral hydrothorax.
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F3
At the same time pneumomediastinum, subcutaneous neck emphysema and bilateral pleural effusion were noticed, and a thrombus was visible in the right jugular vein at the insertion in the brachiocephalic vein (Figure 3).
Removal of the dislocated central venous catheter.
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F4
Once the patient had been stabilized, the dislocated catheter was removed electively on the following day under fluoroscopy (Figure 4).