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British Journal of Radiology (2006) 79, e75-e77
© 2006 British Institute of Radiology
doi: 10.1259/bjr/30451779
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Case report

Central line pump infusion and large volume mediastinal contrast extravasation in CT

P O'Sullivan, MRCPI, FFR, RCSI, M Brown, MD, B Hartnett, BSc, RT(R) and J R Mayo, MD

Department of Radiology, Vancouver General Hospital, University of British Columbia, Vancouver, BC, Canada

Correspondence: Dr Paul O'Sullivan, 899 West 12 Avenue, Vancouver, BC, Canada, V6J 1V9. E-mail: paul.osullivan@vch.ca

The use of multidetector CT scanners for CT angiography requires rapid injection of radiographic contrast media. Central venous catheters are now widely used for this purpose. Several complications may occur while using central venous access for rapid, large volume contrast injection such as catheter rupture and contrast extravasation. We describe a case in which inadvertent malposition of a central venous catheter led to a high volume extravasation of contrast in the mediastinum in a trauma patient.






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