“Swan-Kabb”: A New Complication of Central Venous Cannulation

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Abstract
To the Editor: Central venous cannulation using either the subclavian or the internal jugular approach is a common procedure in critically ill patients. Performed correctly, the procedure is safe and the risk of complication low. Pneumothorax is the most common complication, followed by subclavian-artery puncture, infection, hemothorax, and air embolism.1 2 3 4 Other rare complications include hydromediastinum, cardiac tamponade, and catheter embolization.2 , 5 , 6 We describe a new complication related to ipsilateral cannulation of both the subclavian and internal jugular veins.A 62-year-old man was transferred to our institution after having a myocardial infarction complicated by systemic hypotension. To assess his hemodynamic status, we . . .

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