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Fouad Nicolas, MD; Jose Fenig, MD; Robert M. Richter, MD
Brooklyn, NY

JAMA. 1970;214(2):373-374.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

The widespread use of central venous catheters has been of undeniable benefit, but has given rise to a new generation of iatrogenic complications. To the growing list of these, we add an example of knotting of a subclavian central venous catheter.

Report of a Case.—

A 19-year-old boy was admitted with a bullet wound of the thigh. Blood and fluids were administered through a radiopaque 16-gm catheter inserted into the right subclavian vein. Originally 30 cm long, the catheter was trimmed of its distal 5 cm before insertion to avoid possible intracardiac placement of the tip. Operation for correction of vascular injuries was performed several hours after admission. Three days later, when intravenous feedings were stopped, resistance was met in removal of the last 3 cm of the catheter. It was found to be occluded by a tight simple knot 1 cm from its tip (Figure), although . . . [Full Text PDF of this Article]

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