We report a case of central venous catheter (CVC) malposition. Through subclavian approach the eve tip was intended to anchor in the superior cava, but it turned out to be in the right internal jugular vein as revealed by chest X-ray. The cause of malposition was perhaps the preoccupancy of the jugular venous CVC which interferred with a normal advancement. Although the malposition of the catheter might not produce any immediate problem, later complication might occur. Thus, removal of a problematic catheter and re-catheterization was indicated.
本文報告一個中央靜脈導管移位的病歷報告,這個中央靜脈導管是由下鎖骨靜脈進入但管尖插入內頸靜脈。移位的原因可能是受到原先同側之內頸靜脈導管的阻擋。雖然這個導管的移位並沒有產生任何立即發生之副作用,但如未加處置有可能會產生延遲發生之副作用。因此取出並更換移位的中央靜脈導管是有必要的。