Spinal cord infarction following central-line insertion

Andrew Williams; Mark Little; Jeremy Gibbs; Paul Warwicker; Ken Farrington

Spinal cord infarction following central-line insertion

Andrew Williams, Mark Little, Jeremy Gibbs, Paul Warwicker, Ken Farrington

Research output: Contribution to journal › Article › peer-review

6 Citations (Scopus)

Abstract

Hemothorax is a recognized complication of central line insertion into the jugular or subclavian vein. We describe a case of hemothorax consequent upon acute dialysis catheter insertion, which resulted in spinal cord infarction and quadriplegia. We postulate that the extensive mediastinal shift induced after insertion of the catheter resulted in stretching of the veins draining the cord with a resultant drop in perfusion pressure and infarction. This case highlights a hitherto unreported complication of this procedure.

Original language	English
Pages (from-to)	327-9
Number of pages	3
Journal	Renal failure
Volume	25
Issue number	2
Publication status	Published - Mar 2003

Keywords

Catheterization, Central Venous
Hemothorax
Humans
Infarction
Kidney Failure, Chronic
Male
Middle Aged
Quadriplegia
Renal Dialysis
Spinal Cord
Case Reports
Journal Article

Cite this

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title = "Spinal cord infarction following central-line insertion",

abstract = "Hemothorax is a recognized complication of central line insertion into the jugular or subclavian vein. We describe a case of hemothorax consequent upon acute dialysis catheter insertion, which resulted in spinal cord infarction and quadriplegia. We postulate that the extensive mediastinal shift induced after insertion of the catheter resulted in stretching of the veins draining the cord with a resultant drop in perfusion pressure and infarction. This case highlights a hitherto unreported complication of this procedure.",

keywords = "Catheterization, Central Venous, Hemothorax, Humans, Infarction, Kidney Failure, Chronic, Male, Middle Aged, Quadriplegia, Renal Dialysis, Spinal Cord, Case Reports, Journal Article",

author = "Andrew Williams and Mark Little and Jeremy Gibbs and Paul Warwicker and Ken Farrington",

year = "2003",

month = mar,

language = "English",

volume = "25",

pages = "327--9",

journal = "Renal failure",

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TY - JOUR

T1 - Spinal cord infarction following central-line insertion

AU - Williams, Andrew

AU - Little, Mark

AU - Gibbs, Jeremy

AU - Warwicker, Paul

AU - Farrington, Ken

PY - 2003/3

Y1 - 2003/3

N2 - Hemothorax is a recognized complication of central line insertion into the jugular or subclavian vein. We describe a case of hemothorax consequent upon acute dialysis catheter insertion, which resulted in spinal cord infarction and quadriplegia. We postulate that the extensive mediastinal shift induced after insertion of the catheter resulted in stretching of the veins draining the cord with a resultant drop in perfusion pressure and infarction. This case highlights a hitherto unreported complication of this procedure.

AB - Hemothorax is a recognized complication of central line insertion into the jugular or subclavian vein. We describe a case of hemothorax consequent upon acute dialysis catheter insertion, which resulted in spinal cord infarction and quadriplegia. We postulate that the extensive mediastinal shift induced after insertion of the catheter resulted in stretching of the veins draining the cord with a resultant drop in perfusion pressure and infarction. This case highlights a hitherto unreported complication of this procedure.

KW - Catheterization, Central Venous

KW - Hemothorax

KW - Humans

KW - Infarction

KW - Kidney Failure, Chronic

KW - Male

KW - Middle Aged

KW - Quadriplegia

KW - Renal Dialysis

KW - Spinal Cord

KW - Case Reports

KW - Journal Article

M3 - Article

C2 - 12739841

SN - 0886-022X

VL - 25

SP - 327

EP - 329

JO - Renal failure

JF - Renal failure

IS - 2

ER -

Spinal cord infarction following central-line insertion

Abstract

Keywords

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