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Case report
Rupture along with fibrin clot occluding the middle port of the triple lumen catheter: an uncommon complication of central venous catheterisation
  1. Saurav Burman,
  2. Niraj Kumar,
  3. Keshav Goyal and
  4. Ashish Bindra
  1. Neuroanaesthesiology and Critical Care, All India Institute of Medical Sciences, New Delhi, India
  1. Correspondence to Dr Niraj Kumar, drnirajaiims{at}


Central venous catheter (CVC) insertion is a commonly done procedure but associated with some potential complications. In our case, intraoperatively we placed a CVC into the right subclavian vein of the patient for a neurosurgical procedure. Subsequently, in the neurosurgical intensive care unit, on checking the patency of the CVC, only the distal and proximal lumens were working and no backflow of blood was detected from the middle port. A chest X-ray and ultrasound were done immediately, which did not reveal why the middle port was blocked. Later CVC was removed, and on examination of the catheter, we noted an intraluminal fibrin clot and a partial tear near the opening of the middle port. This is an uncommon complication of a CVC insertion that is catheter tear along with fibrin clot occluding the middle port of the CVC, which was detected in time and managed successfully.

  • anaesthesia
  • adult intensive care
  • neuroanaesthesia

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  • Contributors NK was involved in conception and design, acquisition of data, interpretation of data, revising it critically for important intellectual content and drafting the article; SB involved in conception and design and acquisition of data; AB interpreted the data and drafted the article; and KG gave final approval of the version and revised it critically for important intellectual content.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Next of kin consent obtained.