Open AccessAn Uncommon Arteriovenous Fistula Resulting from Haemodialysis Catheterization despite Applying Ultrasound Guidance: Malposition of Catheter into Right Subclavian Artery
Author(s) -
Choi HJ,
Kang BS
Publication year - 2011
Publication title -
hong kong journal of emergency medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.145
H-Index - 12
eISSN - 2309-5407
pISSN - 1024-9079
DOI - 10.1177/102490791101800307
Subject(s) - medicine , catheter , arteriovenous fistula , subclavian vein , complication , lumen (anatomy) , radiology , internal jugular vein , ultrasound , surgery , fistula , central venous catheter , dialysis catheter , subclavian artery , axillary vein , jugular vein , thrombosis
Ultrasound‐guided central venous catheterization could reduce the complication rate and increase first time success rate. However, without substantial experience and caution, it could lead to serious complications. We presented a rare case of malposition of the temporary haemodialysis catheter into the right subclavian artery with arteriovenous fistula after real‐time 2D ultrasound‐guided catheterization into right internal jugular vein. After the occurrence of this complication, we learned that emergency physicians should confirm the position of end portion of the catheter within the target vessel's lumen even when the catheterization was done with real‐time 2D ultrasound guidance.