• ASAIO J. · Jul 2012

    Case Reports

    Accidental cannulation of the left ascending lumbar vein through femoral access-still often unrecognized.

    • Ivan Göcze, Rene Müller-Wille, Christian Stroszczynski, Hans J Schlitt, and Thomas Bein.
    • Department of Surgery, University Medical Center Regensburg, Germany. ivan.goecze@ukr.de
    • ASAIO J. 2012 Jul 1;58(4):435-7.

    AbstractThe femoral vein approach is considered to be a quick and safe route for venous access. However, severe complications can occur with this access because of misplacement. Our report describes the malposition of a large-bore dialysis catheter into the left ascending lumbar vein, which led to less effective hemodiafiltration. Clinicians should be aware of possible misplacement while inserting a femoral vein catheter, especially on the left side. In some cases, the correct position in the inferior vena cava needs confirmation before using the catheter.

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