Images in Intensive Medicine
Anomalous position of femoral dialysis catheters
Posición anómala de los catéteres femorales para diálisis
D. Arias-Verdu, G. Seller-Pérez, M.E. Herrera Gutiérrez
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UCI Hospital Universitario Carlos Haya, Málaga, Spain
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Arias-Verdu, G. Seller-Pérez, M.E. Herrera Gutiérrez" "autores" => array:3 [ 0 => array:2 [ "nombre" => "D." "apellidos" => "Arias-Verdu" ] 1 => array:2 [ "nombre" => "G." "apellidos" => "Seller-Pérez" ] 2 => array:4 [ "nombre" => "M.E." "apellidos" => "Herrera Gutiérrez" "email" => array:1 [ 0 => "mehguci@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "UCI Hospital Universitario Carlos Haya, Málaga, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Posición anómala de los catéteres femorales para diálisis" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 500 "Ancho" => 496 "Tamanyo" => 50982 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A patient underwent CRRT throw a left femoral vein catheter (34<span class="elsevierStyleHsp" style=""></span>cm–13.5<span class="elsevierStyleHsp" style=""></span>F). Immediately after the insertion we detected problems in the circuit blood flow and the patient deteriorated. A CT scan showed the tip of the catheter in the left lumbar vein beside a retroperitoneal haematoma (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). Another patient (same catheter and insertion technique) showed persistent blood flow problems and in a CT scan the catheter was detected in an accessory left hemiacygos vein and already visible in the plain abdominal <span class="elsevierStyleSmallCaps">X</span>-ray (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>). Because presumably an eco-directed insertion would not have prevented these anomalous locations, in the event of serious flow problems, a radiologic exploration can help ruling out this unusual and scarcely reported malposition that demands immediate withdrawal of the catheter.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflict of interest</span><p id="par0015" class="elsevierStylePara elsevierViewall">The authors declare no conflict of interest concerning this manuscript.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:1 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflict of interest" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2015-10-18" "fechaAceptado" => "2015-11-15" "multimedia" => array:2 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 500 "Ancho" => 528 "Tamanyo" => 89268 ] ] ] 1 => array:6 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 500 "Ancho" => 496 "Tamanyo" => 50982 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/02105691/0000004100000004/v1_201704211129/S0210569115002533/v1_201704211129/en/main.assets" "Apartado" => array:4 [ "identificador" => "18744" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Imágenes en Medicina Intensiva" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/02105691/0000004100000004/v1_201704211129/S0210569115002533/v1_201704211129/en/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569115002533?idApp=WMIE" ]
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