Key result
Left IJV catheters can be inadvertently sutured into the innominate vein during CABG.
Why the study?
Complications related to central venous catheter insertion during cardiac surgeries such as CABG are known but specific rare events like inadvertent suturing require detailed reporting.
Case Report
Highlights a rare procedural complication where a central venous catheter is inadvertently sutured into the innominate vein during cardiac surgery.
Alerts clinicians to rare central line entrapment risk in CABG; case report leaves open incidence and prevention strategies.
Inserting a central venous catheter (CVC) into either the right or left internal jugular vein is a routine procedure for a myriad of cardiac cases, including coronary artery bypass grafting (CABG), valve replacement, and the like. It is used mainly to administer medications, fluids, and blood products, as well as hemodynamic monitoring. As with any procedure, complications may occur. Some common complications include catheter-related bloodstream infections, thrombosis, hemothorax, pneumothorax, fracture of the catheter, arterial puncture, nerve injury, malposition or migration, air embolism, and/or hemorrhage.
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Kodack et al. (2024) conducted a case report in Central venous catheter complications during cardiac surgery. Central venous catheter insertion was evaluated. Inadvertent suturing of a left internal jugular vein catheter into the innominate vein is a potential complication during coronary artery bypass grafting surgery.
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