Deep vein thrombosis after spine operation in prone position with subclavian venous catheterization: a case report.
10.4097/kjae.2014.67.1.61
- Author:
Jae Kyung CHO
1
;
Jin Hee HAN
;
Sung Wook PARK
;
Keon Sik KIM
Author Information
1. Department of Anesthesiology and Pain Medicine, Kyung Hee University College of Medicine, Seoul, Korea. demerol@khmc.or.kr
- Publication Type:Case Report
- Keywords:
Central venous catheters;
Prone position;
Upper extremity deep vein thrombosis
- MeSH:
Aged;
Anesthesia, General;
Arm;
Catheterization*;
Catheters*;
Central Venous Catheters;
Edema;
Female;
Humans;
Prone Position*;
Spinal Stenosis;
Spine*;
Subclavian Vein;
Thrombosis;
Ultrasonography;
Upper Extremity Deep Vein Thrombosis;
Venous Thrombosis*
- From:Korean Journal of Anesthesiology
2014;67(1):61-65
- CountryRepublic of Korea
- Language:English
-
Abstract:
We experienced a case of deep vein thrombosis after spine surgery in the prone position with a central venous catheter (CVC). Posterior lumbar interbody fusion was performed on a 73-year-old female patient who was diagnosed with spinal stenosis. Accordingly, in the operation room under general anesthesia, two-lumen CVC were inserted into the left subclavian vein. The surgery was performed in the prone position with a Wilson frame. On the next day, there was a sudden occurrence of severe edema in the patient's left arm. By ultrasonography and computed tomography scanning, extensive deep vein thrombosis was observed in the left subclavian vein. The existence of a factor affecting blood flow such as the prone position may increase the risk of thrombus formation. Therefore, careful perioperative evaluation should be implemented.
