%0 Journal Article
%T Therapeutic strategy of central vein perforation accompanied by a mediastinal lesion after catheterization
%A Chi-Chang Li
%A Wei Zhang
%A Xing-Jie Wu
%A Yang Bu
%A Zhi-Peng Zheng
%J Journal of International Medical Research
%@ 1473-2300
%D 2019
%R 10.1177/0300060519843686
%X Central vein perforation associated with a mediastinal lesion is a rare complication of catheterization. A 50-year-old woman was diagnosed with chronic kidney disease and required hemodialysis treatment. The patient developed central vein injury during attempted placement of a double-channel catheter. A computed tomographic scan and venography showed that the catheter had punctured the mediastinum from the central vein. After comprehensive assessment and multidisciplinary consultation, percutaneous catheter thrombin injection with follow-up balloon dilatation under fluoroscopy guidance successfully fixed the perforation. We summarize the therapeutic strategy of this complication and other treatment options, and discuss the related literature of central vein injury
%K Catheterization
%K central vein injury
%K thrombin
%K mediastinum
%K hemodialysis
%K kidney disease
%K hemorrhage
%U https://journals.sagepub.com/doi/full/10.1177/0300060519843686