Routine use of fluoroscopy is recommended during dialysis catheter placement to prevent serious complications from anomalous routing.
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Alerts to anomalous routing risks in catheter placement; leaves open whether routine fluoroscopy prevents hemothorax.
Central venous placement using ultrasound has significantly reduced the complications associated with blind puncture. The central venous catheter can still get misplaced if it follows an anomalous route after appropriate puncture of desired vessel. We report a case of misplaced dialysis catheter into the accessory hemiazygos vein which resulted in a large hemothorax, and we recommend the routine use of a fluoroscope for placement of dialysis catheters so as to avoid serious complications.
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Kishore et al. (2015) studied this question.
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