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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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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


Figure 1
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  		Figure 1. Following withdrawal of the subclavian line by 2 cm, the tip (arrow) of the multilumen catheter appears to be in a satisfactory position within the left brachiocephalic vein.

 

Figure 2
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  		Figure 2. Transverse CT section at the level of(a) the manubrium and (b) the carina, demonstrating a large volume of extravasated contrast within soft tissues of the anterior mediastinum. (c) Sagittal image shows extensive anterior mediastinal extravasation.

 

Figure 3
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  		Figure 3. Transverse CT section at the level of the right pulmonary artery shows contrast media outlining the pericardium(arrows) and diffusing into the left and right pleural spaces.

 

Figure 4
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  		Figure 4. Hand injection of the proximal port of the multilumen catheter shows extravasation from the proximal side port(arrow) confirming the malposition of the line. Superior vena cava (SVC) is also shown.

 




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