Severe Complication of Inserting Central Venous Dialysis Catheter in Patient with Haematologic Malignity

Czech version

Authors: V. Mixa ¹; K. Cvachovec ¹; D. Sumerauer ²; J. Mališ ²; I. Hurychová ³; M. Vyhnánek ⁴; Z. Hríbal ⁵
Authors‘ workplace: KAR, UK, 2. LF a IPVZ, FN Motol, prednosta doc. MUDr. Karel Cvachovec, CSc. 2 Klinika detské onkologie UK, 2. LF, FN Motol, prednosta prof. MUDr. Josef Koutecký, DrSc. 3 Ústav patologické anatomie UK, 2. LF, FN Motol, prednosta prof. MUDr. Roman Kodet, CS ¹
Published in: Anest. intenziv. Med., , 2002, č. 3, s. 111-114
Category:

Overview

Chemotherapy with subsequent autologous haematopoietic cells transfer is efficient therapeutic modality for some types of malignant blood disorders.Chemotherapy requires double-lumen central venous dialysis catheter which has to be inserted in critically ill patients with pancytopenia, anemia andsevere blood coagulation disorder. The case report shows the haemothorax made by inserted dialysis catheter in patient with PNET kidney. It wascaused by repeated punction of the subclavian vein wall and the severe coagulation disorder. The resuscitation of circulation followed and lasted severalhours including massive volume and inotropic therapy. It was followed by death of the patient. Because inserting of these catheters is unavoidable inthis stage of correct therapy in patients with malignity, we accepted strict rules in this area. It means the exact indication of autologous haematopoieticcells transfer which enables the choice of catheter type and inserting place for the anaesthesiologist. The availability of the surgeon and intensive careunit is essential for possible complications solving.

Key words:
central venous dialysis catheter – complications of central venous catheter inserting – autologous haematopoietic cells transfer – PNETkidneys in children

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