Magnetic Resonance Imaging of Central Vein in the diagnosis of Stuck Hemodialysis Central Venous Catheter: A Case report

The stuck central venous catheter (CVC) results from fibrin sheaths that firmly adhere the catheter to the wall of the superior vena cava or right atrium. Here, we report a patient with stuck CVC. The patient underwent preoperative magnetic resonance imaging (MRI) of the central vein to remove the catheter and then suffered intraoperative cardiac arrest with a bedside ultrasound suggesting cardiac tamponade and considered a right atrial laceration. The patient was then transferred to ICU, where he was discharged over a week later with stable vital signs, pending further surgery. The preoperative MRI features were analyzed retrospectively.