Treatment of a central venous perforation caused by dialysis intubation using coils and cyanoacrylate glue: A case report
- Chun‑Ze Zhou
- Kai‑Cai Liu
- Peng Wang
- Wei Ren
- Wei‑Fu Lv
Affiliations: Department of Interventional Radiology, Medical College of Shandong University, Jinan, Shandong 250021, P.R. China, Department of Interventional Radiology, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui 230001, P.R. China, Department of Nephrology, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui 230001, P.R. China
- Published online on: August 20, 2019 https://doi.org/10.3892/etm.2019.7923
Copyright: © Zhou
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Central venous catheter is one of the most commonly used vascular therapies in patients receiving hemodialysis and vascular perforation is a rare but serious complication. The present study reports on a case of a 64‑year‑old female who developed massive hemothorax and hemorrhagic shock after long‑term dialysis due to central venous perforation during placement of the central venous catheter. This case was successfully managed by digital subtraction angiography‑guided direct injection of coils and cyanoacrylate glue into the sinus tract. In addition, the literature regarding central venous perforation resulting from long‑term dialysis catheters was reviewed, risk factors and prevention strategies were summarized and the advantages and disadvantages of various therapeutic approaches were compared.