Malposition of Central Venous Catheter in Paediatric Patient: A Case Report

ABSTRACT

Central venous access is increasingly becoming the domain of the radiologist, both in terms of the insertion of central venous catheters (CVCs) and in the subsequent management of these lines. Malposition (means catheter lies outside of Superior Vena Cava) may be associated with catheter insertion and may require immediate intervention. Despite careful placement using proper landmarks and technique, it might be associated with hematoma formation at insertion site, pneumothorax, inadvertent arterial puncture, hemothorax, chylothorax, extravasation of infusate, pleural effusions, sepsis, thrombosis and cardiac tamponades. This report highlighted a case of a malpositioned central venous catheter leading to extravasation of infusate in subcutaneous plane. Everyone should be aware of the complications and monitor consistently appropriate position of catheter tips.