Extravasación mediastínica de contraste como signo de laceración de la vena innominada tras catéter venoso central
Laura Maté Miguel, Pablo Pazos Lama · 2026
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Description
Laura Maté Miguel and Pablo Pazos Lama report, in a 2026 case written in Spanish, a 62-year-old man in intensive care after an ischemic stroke. His central venous catheter tore the innominate vein, a large vein behind the upper chest. The line had been placed under ultrasound through the left subclavian vein, and the first chest film looked reassuring.
Two days later he became unstable, with kidney failure, fluid around both lungs, and fluid squeezing the heart. CT imaging with contrast sent through the catheter itself showed the tear leaking into the chest cavity, and a vein study confirmed it. The catheter was removed in an operating room with a blocking balloon ready, no new leak appeared, and recovery went well. The authors stress imaging when decline has no clear cause.
Catalog record
| CREATOR | Laura Maté Miguel, Pablo Pazos Lama |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 3 KB |
| LICENSE | https://creativecommons.org/licenses/by/4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |