An Official Journal of the Japan Primary Care Association  2014;37(3):233-237

doi:10.14442/generalist.37.233

Assessment of femoral central venous catheter misplacement in the ascending lumbar vein

Shinichi Nakanishi ; Zyunichi Fujiwara ; Yuka Kagaya ; Kumiko Takahashi ; Zyun Sawabe ; Tsutomu Miura ; Takamitsu Kasuya ; Takemi Fukuoka ; Tsuyoshi Ono

Keywords

femoral central venous catheter; ascending lumbar vein; misplacement

Country

Japan

Language

Japanese

Abstract

Introduction : Catheter which strays in the ascending lumbar vein during femoral vein catheterization can cause complications such as retroperitoneal hematoma. However, not much is known of this phenomenon.
Methods : We retrospectively studied 107 patients who had indwelling femoral vein catheter in our hospital between March 2013 and April 2011.
Results : The catheter went straying in the ascending lumbar vein 11/110 times (10.0%) , 5/34 times (14.7%) on the left side, and 6/76 times (7.9%) on the right side. The possibility of the catheter straying was maximum when the catheter was displaced laterally or raised sharply towards the caudal side, as seen through abdominal radiographic examination.
Conclusion : Femoral central venous catheter misplacement in the ascending lumbar veins is fairly common. Tests such as additional abdominal CT or radiographs should be conducted if misplacement is suspected.