Vascular access challenge on a patient with cerebral palsy and severe kyphoscoliosis

Sharon Leung, Amit D. Malhotra, Lewis A. Eisen

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

We report a case of vascular assess challenge on a patient with severe kyphoscoliosis and joint contractures. Multiple internal jugular (IJ) central venous catheters (CVC) and a peripherally inserted central catheter (PICC) catheterization were attempted via ultrasound guidance and all resulted in malposition. the picc attempt fortuitously pushed a malpositioned IJ into the correct position. computed tomography (CT) demonstrated a narrow thoracic inlet with no definite venous stenoses. therefore, severe chest wall deformity, a narrow thoracic inlet and inadequate positioning of the patient secondary to his contractures all contributed to the malposition of the PICC and CVCs.

Original languageEnglish (US)
Pages (from-to)66-68
Number of pages3
JournalJournal of Vascular Access
Volume11
Issue number1
StatePublished - Jan 1 2010

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Keywords

  • Central venous catheter
  • Peripherally inserted central catheter
  • Scoliosis

ASJC Scopus subject areas

  • Surgery
  • Nephrology

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