Editorial
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Aug 26, 2024; 12(24): 5473-5475
Published online Aug 26, 2024. doi: 10.12998/wjcc.v12.i24.5473
Clues for diagnosing misplaced central venous catheter in the right ascending lumbar vein during right femoral venous access
Joho Tokumine, Kiyoshi Moriyama, Tomoko Yorozu
Joho Tokumine, Kiyoshi Moriyama, Tomoko Yorozu, Department of Anesthesiology, Kyorin University School of Medicine, Mitaka 181-8611, Tokyo, Japan
Author contributions: Tokumine J, Moriyama K, and Yorozu T contributed to this paper; Tokumine J wrote the original draft; Tokumine J and Moriyama K contributed to the conceptualization of the article; Yorozu T contributed to the review of literature and data validation.
Conflict-of-interest statement: Joho Tokumine is a technical adviser of the CardinalHealth Japan Co. and has done an ultrasound-guided technical training course held by the company.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Joho Tokumine, MD, PhD, Professor, Department of Anesthesiology, Kyorin University School of Medicine, 6-20-2 Sinkawa, Mitaka 181-8611, Tokyo, Japan. ii36469@wa2.so-net.ne.jp
Received: March 18, 2024
Revised: April 29, 2024
Accepted: May 14, 2024
Published online: August 26, 2024
Processing time: 114 Days and 20.7 Hours
Abstract

The right ascending lumbar vein is difficult to detect on anteroposterior abdominal radiographs because it overlaps with the inferior vena cava on anteroposterior radiographs. Intensive observation by medical providers may be a cue for diagnosis. However, knowledge of catheter misplacement of the right ascending lumbar vein is also necessary, because misplacement cannot be suspected without that awareness.

Keywords: Central venous catheter; Ascending lumbar vein; Femoral vein; Catheter misplacement; Anteroposterior abdominal X-ray

Core Tip: Intensive observation by medical providers is important to ensure early detection of a misplaced central venous catheter in the right ascending lumbar vein. However, knowledge of catheter misplacement of the right ascending lumbar vein is also necessary, because without that awareness, misplacement cannot be suspected.