Deep vein thrombosis after spine operation in prone position with subclavian venous catheterization -a case report-

被引:5
作者
Cho, Jae Kyung [1 ]
Han, Jin Hee [1 ]
Park, Sung Wook [1 ]
Kim, Keon Sik [1 ]
机构
[1] Kyung Hee Univ, Coll Med, Dept Anesthesiol & Pain Med, 26,Kyungheedae Ro, Seoul 130872, South Korea
关键词
Central venous catheters; Prone position; Upper extremity deep vein thrombosis;
D O I
10.4097/kjae.2014.67.1.61
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
We experienced a case of deep vein thrombosis after spine surgery in the prone position with a central venous catheter (CVC). Posterior lumbar interbody fusion was performed on a 73-year-old female patient who was diagnosed with spinal stenosis. Accordingly, in the operation room under general anesthesia, two-lumen CVC were inserted into the left subclavian vein. The surgery was performed in the prone position with a Wilson frame. On the next day, there was a sudden occurrence of severe edema in the patient's left arm. By ultrasonography and computed tomography scanning, extensive deep vein thrombosis was observed in the left subclavian vein. The existence of a factor affecting blood flow such as the prone position may increase the risk of thrombus formation. Therefore, careful perioperative evaluation should be implemented.
引用
收藏
页码:61 / 65
页数:5
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