Lymphatic injury and chylothorax are known, albeit rare, complications of both right and left internal jugular central venous catheter placement.[1] [2] Some reports suggest that these complications occur more frequently when lines are placed in the presence of other complicating factors such as infection or thrombosis.[3] [4] [5] [6] [7] [8] Although rare, the potential for a peripheral lymphatic injury is present during vascular access adjacent to the inguinal nodal cluster. A case of iatrogenic peripheral lymphatic injury during placement of a femoral tunneled central venous catheter (TCVC) is described. We review peripheral lymphatic anatomy, suggest approaches to avoid inadvertent lymphatic injury, and discuss management strategies of a peripheral lymphatic injury.
Authors' ContributionAll authors have read and contributed to this manuscript.
The authors have no relevant disclosures.
N.K.: Research Grant and Consultant—Sirtex Medical
N.N.: Scientific Advisory Board: Embolx and RenovoRx; Consultant: CAPS Medical
B.S.M.: Scientific Advisory Board—Balt Medical
There was no grant funding or financial support for this manuscript.
Publication HistoryArticle published online:
20 December 2022
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