Table IV.
Iatrogenic complications of central venous line placement in COVID-19+ patients managed by participating sites
| Complication | Total No. of cases | Cases related to line team procedure | Anatomic location |
Initial management strategy | Initial management success | |||
|---|---|---|---|---|---|---|---|---|
| IJ/carotid | SC | Femoral | Other | |||||
| Inadvertent arterial puncture with wire in place before catheter placement | 3 | 0 | 2 | 0 | 1 | Pull line and hold pressure (1) | Yes | |
| Open surgical repair (1) | Yes | |||||||
| Other (1) | a | |||||||
| Inadvertent arterial puncture with dilator in place before catheter placement | 2 | 0 | 1 | 0 | 0 | Descending aorta | Pull line and hold pressure (1) | Yes |
| Endovascular management with stent (1) | Yes | |||||||
| Inadvertent arterial placement with catheter still remaining in artery | 16 | 1 | 5 | 6 | 4 | Brachiocephalic artery | Pull line and hold pressure (5) | Yes |
| Endovascular management with balloon (2) | Yes | |||||||
| Closure device (1) | Yes | |||||||
| Endovascular management with stent graft (1) | Yes | |||||||
| Open surgical repair (3) | Yes | |||||||
| Used as arterial line, then pulled (1) | Yes | |||||||
| Other (3) | a | |||||||
| Inadvertent arterial puncture with no catheter remaining in artery but active extravasation present | 2 | 0 | 0 | 1 | 1 | Pull line and hold pressure (2) | Yes | |
| Catheter or wire fracture/embolization | 3 | 0 | 0 | 0 | 1 | Aorta Right atrium |
Open surgical retrieval (1) Anticoagulation (2) |
Yes |
| Hematoma or active bleeding at catheter site with catheter in place and catheter in correct position | 10 | 6 | 8 | 1 | 1 | Pull line and hold pressure (10) | Yes | |
| Pneumothorax | 11 | 1 | 4 | 5 | 0 | 2 unknown | Tube thoracostomy (11) | Yes |
| Air embolism | 1 | 1 | 1 | 0 | 0 | None attempted | No | |
IJ, Internal jugular; SC, subclavian.
a
See text.