A Case in Which the Incorrect Insertion in the Vertebral Artery Became Clear Four Days after Inserting the Central Venous Catheter

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  • YOSHITOMI Osamu
    Department of Anesthesiology, Nagasaki University School of Medicine
  • CHO Sungsum
    Department of Anesthesiology, Nagasaki University School of Medicine
  • MAEKAWA Takuji
    Department of Anesthesiology, Nagasaki University School of Medicine
  • HARA Tetsuya
    Department of Anesthesiology, Nagasaki University School of Medicine
  • MAKITA Tetsuji
    Department of Anesthesiology, Nagasaki University School of Medicine
  • SUMIKAWA Koji
    Department of Anesthesiology, Nagasaki University School of Medicine

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  • 中心静脈カテーテル挿入４日後に椎骨動脈への誤挿入が判明した１症例

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Insertion of central venous catheters (CVC) is an essential treatment in modern critical care. Despite the utility of CVC, insertion and placement of CVC is often associated with mechanical, infectious, and thromboembolic complications. Recently, accidents associated with CVC have been reported. We had a case in which the incorrect insertion in the vertebral artery became clear four days after inserting CVC. The patient recovered without any neurological complications. Mechanical complications such as accidental arterial puncture and drug injection can contribute to endangering life. Therefore, it is absolutely necessary to standardize the way of confirming the correct insertion and placement of CVC. Moreover, it is very important that we acquire the correct knowledge about complications associated with insertion and placement of CVC.

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