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Inferior thyroid artery pseudoaneurysm associated with internal jugular vein puncture: a case report

BACKGROUND: Central venous catheter placement is an important aspect of patient care for the administration of fluids and medications and for monitoring purposes. However, it is still associated with significant morbidity and mortality. CASE PRESENTATION: We report a case of iatrogenic inferior thyr...

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Autores principales: Ruan, Jinguang, Zhang, Cao, Peng, Zhiyou, Tang, David Yue, Feng, Zhiying
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4432982/
https://www.ncbi.nlm.nih.gov/pubmed/25943354
http://dx.doi.org/10.1186/s12871-015-0052-6
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author Ruan, Jinguang
Zhang, Cao
Peng, Zhiyou
Tang, David Yue
Feng, Zhiying
author_facet Ruan, Jinguang
Zhang, Cao
Peng, Zhiyou
Tang, David Yue
Feng, Zhiying
author_sort Ruan, Jinguang
collection PubMed
description BACKGROUND: Central venous catheter placement is an important aspect of patient care for the administration of fluids and medications and for monitoring purposes. However, it is still associated with significant morbidity and mortality. CASE PRESENTATION: We report a case of iatrogenic inferior thyroid artery pseudoaneurysm during the central line placement due to internal jugular vein puncture. This is a rare complication of central venous cannulation. Fortunately the pseudoaneurysm was monitored closely, diagnosed promptly and obliterated by using radiological intervention. We discuss the risk factors and management of the unintended artery puncture. CONCLUSION: The pathway of the management post arterial puncture depends on the size of the needle or catheter, which is direct related to the consequence of arterial injuries. Identifying risk factors is very important to avoid the complications. However, the use of ultrasound guided venipuncture is the most important method to avoid mechanical complications.
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spelling pubmed-44329822015-05-16 Inferior thyroid artery pseudoaneurysm associated with internal jugular vein puncture: a case report Ruan, Jinguang Zhang, Cao Peng, Zhiyou Tang, David Yue Feng, Zhiying BMC Anesthesiol Case Report BACKGROUND: Central venous catheter placement is an important aspect of patient care for the administration of fluids and medications and for monitoring purposes. However, it is still associated with significant morbidity and mortality. CASE PRESENTATION: We report a case of iatrogenic inferior thyroid artery pseudoaneurysm during the central line placement due to internal jugular vein puncture. This is a rare complication of central venous cannulation. Fortunately the pseudoaneurysm was monitored closely, diagnosed promptly and obliterated by using radiological intervention. We discuss the risk factors and management of the unintended artery puncture. CONCLUSION: The pathway of the management post arterial puncture depends on the size of the needle or catheter, which is direct related to the consequence of arterial injuries. Identifying risk factors is very important to avoid the complications. However, the use of ultrasound guided venipuncture is the most important method to avoid mechanical complications. BioMed Central 2015-05-06 /pmc/articles/PMC4432982/ /pubmed/25943354 http://dx.doi.org/10.1186/s12871-015-0052-6 Text en © Ruan et al.; licensee BioMed Central. 2015 This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Case Report
Ruan, Jinguang
Zhang, Cao
Peng, Zhiyou
Tang, David Yue
Feng, Zhiying
Inferior thyroid artery pseudoaneurysm associated with internal jugular vein puncture: a case report
title Inferior thyroid artery pseudoaneurysm associated with internal jugular vein puncture: a case report
title_full Inferior thyroid artery pseudoaneurysm associated with internal jugular vein puncture: a case report
title_fullStr Inferior thyroid artery pseudoaneurysm associated with internal jugular vein puncture: a case report
title_full_unstemmed Inferior thyroid artery pseudoaneurysm associated with internal jugular vein puncture: a case report
title_short Inferior thyroid artery pseudoaneurysm associated with internal jugular vein puncture: a case report
title_sort inferior thyroid artery pseudoaneurysm associated with internal jugular vein puncture: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4432982/
https://www.ncbi.nlm.nih.gov/pubmed/25943354
http://dx.doi.org/10.1186/s12871-015-0052-6
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