International Journal of Critical Illness and Injury Science

CASE REPORT
Year
: 2020  |  Volume : 10  |  Issue : 3  |  Page : 143--147

Inadvertent direct pulmonary artery catheterization complicating the effort for subclavian venous cannulation and central venous catheter placement: A case report and review of the literature


Panagiotis Papamichalis1, Evangelos Alexiou2, Tilemachos Zafeiridis1, Evangelia Neou1, Periklis Katsiafylloudis1, Spyridon Karagiannis1, Dimitrios Papadopoulos1, Vasileios Mourkas1, Apostolia-Lemonia Skoura1, George Komnos3, Michail Papamichalis4, Apostolos Komnos1 
1 Intensive Care Unit, General Hospital of Larissa, Larissa, Greece
2 Department of Radiology, General Hospital of Larissa, Larissa, Greece
3 Department of Orthopaedic, University General Hospital of Larissa, Larissa, Greece
4 Department of Cardiology, University General Hospital of Larissa, Larissa, Greece

Correspondence Address:
Dr. Panagiotis Papamichalis
Intensive Care Unit, General Hospital of Larissa, Tsakalof 1, 41221 Larissa
Greece

Subclavian access is commonly used in the intensive care unit (ICU) for central venous catheterization. Many complications have been reported during the placement of central venous catheters including pneumothorax, hemothorax, hematoma, and bleeding. The direct, through the thoracic wall, catheterization of pulmonary artery is a very rare one with only three previous reports in the literature. We report a patient who was catheterized for subclavian venous catheter placement, but the imaging techniques (chest X-ray and computed tomography with reconstruction of the images) revealed the direct positioning of the catheter into the pulmonary trunk, fortunately without other adverse events for the patient. Our case report in accordance with recent review of the literature strongly emphasizes the benefits of performing ultrasound-guided interventions in ICU.


How to cite this article:
Papamichalis P, Alexiou E, Zafeiridis T, Neou E, Katsiafylloudis P, Karagiannis S, Papadopoulos D, Mourkas V, Skoura AL, Komnos G, Papamichalis M, Komnos A. Inadvertent direct pulmonary artery catheterization complicating the effort for subclavian venous cannulation and central venous catheter placement: A case report and review of the literature.Int J Crit Illn Inj Sci 2020;10:143-147


How to cite this URL:
Papamichalis P, Alexiou E, Zafeiridis T, Neou E, Katsiafylloudis P, Karagiannis S, Papadopoulos D, Mourkas V, Skoura AL, Komnos G, Papamichalis M, Komnos A. Inadvertent direct pulmonary artery catheterization complicating the effort for subclavian venous cannulation and central venous catheter placement: A case report and review of the literature. Int J Crit Illn Inj Sci [serial online] 2020 [cited 2023 Jan 27 ];10:143-147
Available from: https://www.ijciis.org/article.asp?issn=2229-5151;year=2020;volume=10;issue=3;spage=143;epage=147;aulast=Papamichalis;type=0