Author/Authors :
Tajoddini, Shahrad Kerman University of Medical Sciences, Kerman , Eftekhar Milani, Farid Emergency Department - Tabriz University of Medical Sciences, Tabriz , Fadaei Haghi, Akbar Emergency Department - Tabriz University of Medical Sciences, Tabriz , Shokri, Rouya Emergency Department - Tabriz University of Medical Sciences, Tabriz , Vahdati, Samad Shams Emergency Department - Tabriz University of Medical Sciences, Tabriz , Darei, Mina Emergency Department - Tabriz University of Medical Sciences, Tabriz
Abstract :
We report a 54-year-old woman with the history of end-stage renal disease (ESRD) who was admitted to our hospital because of volume overload. Due to long-term use of peripheral veins and arteriovenous fistula (AVF) failure, central venous catheterization was the only choice for hemodialysis. She developed right upper extremiti’s pain and paresis during hemodialysis. A posteroanterior chest x-ray showed the catheter tip was accidently pushed from right internal jugular vein into right subclavian vein during hemodialysis by the dialysis center nurse. Therefore, we believe that the physician should be aware of any changes in the catheter size after insertion. and a chest x-ray should ensure the catheter’s correct position in any patient who develops complications.
