Acquired chylothorax in association with supraclavicular ultrasound-guided access to the brachiocephalic vein in a neonate

J Vasc Access. 2022 Jul;23(4):640-643. doi: 10.1177/11297298211005267. Epub 2021 Mar 26.

Abstract

Achieving and maintaining venous access can be challenging in some premature and low birth weight infants. In this population, the supraclavicular ultrasound-guided in-plane approach to the brachiocephalic vein for central venous access has demonstrated great success with a low rate of complications. This case describes the first report of acquired chylothorax in association with this technique, in a previously extremely preterm and low birth weight infant.

Keywords: CVC; Central line; complication; intensive care; nursing; octreotide; techniques and procedures.

MeSH terms

  • Brachiocephalic Veins / diagnostic imaging
  • Catheterization, Central Venous* / adverse effects
  • Catheterization, Central Venous* / methods
  • Chylothorax* / diagnostic imaging
  • Chylothorax* / etiology
  • Chylothorax* / therapy
  • Humans
  • Infant
  • Infant, Newborn
  • Ultrasonography
  • Ultrasonography, Interventional / methods