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American Journal of Roentgenology, Vol 146, Issue 3, 487-490
Copyright © 1986 by American Roentgen Ray Society

Articles

Impending catheter perforation of superior vena cava: radiographic recognition

IM Tocino and A Watanabe

In six of nine patients with superior vena caval perforation by a central venous catheter, the chest radiograph showed a gentle curve at the tip of the catheter 4 hr to 7 days before clinical or radiographic recognition of perforation. This radiographic sign should prompt catheter repositioning to avoid the morbidity and potential mortality associated with superior vena caval perforation.
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