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August 1984

Fatal Hemothorax Caused by a Subclavian Hemodialysis Catheter: Thoughts on Prevention

Author Affiliations

From the Division of Nephrology, Toronto Western Hospital.

Arch Intern Med. 1984;144(8):1685-1687. doi:10.1001/archinte.144.8.1685

• A 19-year-old woman died when a subclavian catheter that had provided vascular access for plasmapheresis penetrated her right atrium, pericardium, and parietal pleural, causing a hemothorax. Precautions are recommended to minimize the risk of this complication in patients in whom subclavian catheters are used as a vascular access route for hemodialysis or plasmapheresis.