Semin intervent Radiol 2022; 39(05): 533-536
DOI: 10.1055/s-0042-1757943
Morbidity & Mortality

Lymphorrhea following Tunneled Femoral Central Venous Catheter Placement: Avoidance and Management of a Rare Complication

Authors

  • Daniel Rzewnicki

    1   Division of Interventional Radiology and Image-Guided Medicine, Department of Radiology and Imaging Sciences, Emory University Hospital, Atlanta, Georgia
  • Mohammed F. Loya

    1   Division of Interventional Radiology and Image-Guided Medicine, Department of Radiology and Imaging Sciences, Emory University Hospital, Atlanta, Georgia
  • Hearns Charles

    1   Division of Interventional Radiology and Image-Guided Medicine, Department of Radiology and Imaging Sciences, Emory University Hospital, Atlanta, Georgia
  • Nima Kokabi

    1   Division of Interventional Radiology and Image-Guided Medicine, Department of Radiology and Imaging Sciences, Emory University Hospital, Atlanta, Georgia
  • Nariman Nezami

    2   Division of Vascular and Interventional Radiology, Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland School of Medicine, Baltimore, Maryland
  • Bill S. Majdalany

    3   Department of Radiology, University of Vermont Medical Center, Burlington, Vermont
Preview

Lymphatic injury and chylothorax are known, albeit rare, complications of both right and left internal jugular central venous catheter placement.[1] [2] Some reports suggest that these complications occur more frequently when lines are placed in the presence of other complicating factors such as infection or thrombosis.[3] [4] [5] [6] [7] [8] Although rare, the potential for a peripheral lymphatic injury is present during vascular access adjacent to the inguinal nodal cluster. A case of iatrogenic peripheral lymphatic injury during placement of a femoral tunneled central venous catheter (TCVC) is described. We review peripheral lymphatic anatomy, suggest approaches to avoid inadvertent lymphatic injury, and discuss management strategies of a peripheral lymphatic injury.

Authors' Contribution

All authors have read and contributed to this manuscript.


Disclosures

The authors have no relevant disclosures.


N.K.: Research Grant and Consultant—Sirtex Medical


N.N.: Scientific Advisory Board: Embolx and RenovoRx; Consultant: CAPS Medical


B.S.M.: Scientific Advisory Board—Balt Medical


There was no grant funding or financial support for this manuscript.




Publikationsverlauf

Artikel online veröffentlicht:
20. Dezember 2022

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