PEDIATRICS Vol. 95 No. 1 January 1995, pp. 138-140
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Dural Sinus Thrombosis Complicating Subclavian Vein Catheterization: Treatment With Local Thrombolysis

Bassam M. Gebara MD, FAAP1, Mark G. Goetting MD1, and Ay-Ming Wang MD1

1 Departments of Pediatrics and Diagnostic Radiology, William Beaumont Hospital, Royal Oak, MI

Local venous thrombosis is a known complication of subclavian vein catheterization.1,2 The clot can extend to the noncatheterized ipsilateral internal jugular vein.3,4 It is usually asymptomatic, however, signs of venous congestion can occur. Dural sinus thrombosis has been reported in association with retrograd catheterization of the internal jugular vein,5 but not the subclavian vein. We report a case of symptomatic right sigmoid sinus, transverse sinus, and bilateral internal jugular vein thrombosis without subclavian vein thrombosis in an infant few hours after placement of right subclavian vein catheter.

CASE REPORT

A 9-week-old girl was seen in the emergency room for lethargy, cyanosis, and apnea.

Submitted on February 2, 1994
Accepted on April 25, 1994




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