Delayed perforation of the innominate vein during hyperalimentation
J. J. Reilly, B. Cosimi and P. S. Russell
Mechanical complications of central vein catheterization for
hyperalimentation typically become manifest shortly after insertion. We
present a case report describing a delayed innominate vein perforation by a
central venous catheter. Use of the adult internal jugular vein for central
venous catheterization should be limited to situations in which a
subclavian vein is unavailable. Ongoing watchfulness and a vigorous
diagnostic and therapeutic approach to such complications are mandatory in
the treatment of patients receiving total parenteral nutrition.
