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  • Title: Cardiothoracic emergencies associated with subclavian hemodialysis catheters.
    Author: Barton BR, Hermann G, Weil R.
    Journal: JAMA; 1983 Nov 18; 250(19):2660-2. PubMed ID: 6632166.
    Abstract:
    Three adults have had life-threatening perforations of the vena cava or right atrium associated with the use of subclavian hemodialysis catheters. Subclavian hemodialysis catheters should be meticulously positioned in the superior vena-caval lumen so the tip does not tent the vena-caval wall. If a patient with a subclavian hemodialysis catheter experiences unexplained and refractory hypotension, especially during hemodialysis, cardiac or vena-caval perforation should be suspected.
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