As ICU co-directors we get to see some unusual situations. This line was reportedly a "little traumatic" going in and there is no good blood return from any of the ports. I enlarged the segment of interest and crudely followed the trajectory. Where is the line going?
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Looks like subclavian vein to innominate, then doubling back to the left IJ. Perhaps clot or stenosis preventing the line from crossing the midline?
No ports drawing back-- could be kinked, but it might also be in the pleural space without an obvious pneumo (yet).
Any answer to this mystery line?
It could be anywhere-but definetely needs careful removal by an interventional vascular radiologist under image guidance for removal in case it is in a artery ( I have seen that happen).
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