Central venous catheter

Last revised by Dr Bahman Rasuli on 06 Nov 2021

Central venous catheters (CVC), also known as central venous lines (CVL), refer to a wide range of catheters that are inserted so that their distal tips lie in a central vein. Central venous access devices can broadly be divided into four categories. They may be inserted by medical, surgical, anesthetic/ITU, or radiology specialists.

Central venous catheters can be inserted into a variety of veins, most commonly including:

Policy varies by institution but tip placement for neck/thoracic/upper limb CVCs in the superior vena cava or at the cavoatrial junction is generally acceptable. There is a limited differential of left paramediastinal catheter positions.

Ultrasound-guided CVL insertion proposed to reduce the number of complications and to increase the safety and quality of central venous catheter (CVC) placement.

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Cases and figures

  • Case 1: Permcath
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  • Case 2: normal PICC
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  • Case 5: normal double lumen chest port
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  • Case 4: normal chest port
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  • Case 6: normal triple lumen non-tunneled CVC
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  • Case 7: normal right Vascath
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  • Case 8: normal right brachial port
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  • Case 9: with pinch off syndrome
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  • Case 11: sheared guide wire fragment
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  • Case 12: curled in the internal jugular vein
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  • Case 13: infusothorax
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  • Case 14: in the accessory hemiazygous vein via the left superior intercostal vein
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  • Case 15: Port malposition
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  • Case 16: left subclavian arterial line
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  • Case 17: Malpositioned IJV catheter in left PAPVR - upper lobe
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  • Case 18: Retained fragment of Port-a-Cath
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  • Case 19: tunnelled left internal jugular vein Port-a-Cath with azygous vein termination
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  • Case 20: Retained hub
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  • Case 21: sheared Port-a-Cath segment in pulmonary circulation
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  • Case 22: Progresssive iatrogenic pneumothorax.
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  • Case 23: SVC iatrogenic injury with pericardial contrast leak
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  • Case 24: femoral Portacath
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  • Case 25: Groshong central catheter
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  • Case 26: active mediastinal hemorrhage
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  • Case 27: CXR of malpositioned CVL in the aorta
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  • Case 27: CT of malpositioned CVL in the aorta
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