Factors associated with medical-surgical complications post central venous catheterization in patients with cancer. A purpose of a case [Factores asociados a complicaciones médico-quirúrgicas poscateterización venosa central en pacientes oncológicos. A propósito de un caso]
Rico-Morlan F.J.L.,Especialidad en Cirugia Oncologica |
De La Garza-Navarro J.M.,Especialidad en Cirugia Oncologica |
Barra-Martinez R.,Especialidad en Cirugia Oncologica |
Garcia-Millan R.F.,Centro Estatal Oncologico ISSEMYM |
Santiago-Vazquez R.Y.,Servicio de Anestesiologia
Gaceta Mexicana de Oncologia | Year: 2014
The medical and surgical treatments that are applied in cancer patients originate the need for central venous access, however the clinical stage and natural history of neoplasms, has led to an increase in complications associated with placement of venous access plants, ranging from 9% to 19%. The objective is to describe a case of a patient with subclavian vein perforation secondary to placement of a central venous catheter, a review of the literature with current recommendations for prevention to avoid complications. A 71-year-old female, attending his fifth day after the operation of LAPE and total gastrectomy reconstruction esophagus jejunum anastomosis in the postoperative anastomotic leak data, Unit admission for conservative management, catheter placement was performed central operating room, via the left subclavian without apparent complications. In the data presented postoperative pleural effusion, left endopleural probe is placed initial drained 800 mL and 150 mL spending hours over the next 2 hours. Surgical exploration was performed, identifying the level of injury to the anterior wall of subclavian vein with active bleeding, repair is done, go to UCA, dies of multiple organ failure. Autopsy report: Metastasis in visceral pleura, and wall subclavian vessels. It is still a need for central access pathways for optimal management of cancer patients thus emphasizes that the process of placing a central catheter cannot be handled as a minor procedure due to the high morbidity and mortality that presented in the cases that does not identify the risks and possible complications of this type of invasive procedure. © 2014 Gaceta Mexicana de Oncología.