Acute Management of Iatrogenic Injury to Vertebral Artery With Central Venous Catheter in a Critically Ill Patient

Vertebral artery (VA) injury during catheterization is quite rare given its anatomical position, but can be catastrophic when it is not discovered early on and managed accordingly. A multidisciplinary approach to the management of such injury has to weigh-in the benefits and risks of open surgery ve...

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Autores principales: Al Rayes, Aisha, Khattak, Yasir, Qafani, Avdullah, Anwar, Muhammad, Al Sibaie, Ayman
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2020
Materias:
Cardiac/Thoracic/Vascular Surgery
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7444997/
https://www.ncbi.nlm.nih.gov/pubmed/32850268
http://dx.doi.org/10.7759/cureus.9956
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author Al Rayes, Aisha
Khattak, Yasir
Qafani, Avdullah
Anwar, Muhammad
Al Sibaie, Ayman
author_facet Al Rayes, Aisha
Khattak, Yasir
Qafani, Avdullah
Anwar, Muhammad
Al Sibaie, Ayman
author_sort Al Rayes, Aisha
collection PubMed
description Vertebral artery (VA) injury during catheterization is quite rare given its anatomical position, but can be catastrophic when it is not discovered early on and managed accordingly. A multidisciplinary approach to the management of such injury has to weigh-in the benefits and risks of open surgery versus endovascular intervention. This can be done after thorough assessment of the patient’s condition and accessibility of the injured vessel. We report a case of a 90-year-old female admitted as a case of pneumonia associated with decreased level of consciousness. She acquired an iatrogenic injury due to insertion of central venous catheter (CVC) into her dominant right VA as confirmed via CT angiography (CTA). This case report aims to highlight the role of endovascular intervention in the acute management of VA injury in a critically ill patient.
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spelling pubmed-74449972020-08-25 Acute Management of Iatrogenic Injury to Vertebral Artery With Central Venous Catheter in a Critically Ill Patient Al Rayes, Aisha Khattak, Yasir Qafani, Avdullah Anwar, Muhammad Al Sibaie, Ayman Cureus Cardiac/Thoracic/Vascular Surgery Vertebral artery (VA) injury during catheterization is quite rare given its anatomical position, but can be catastrophic when it is not discovered early on and managed accordingly. A multidisciplinary approach to the management of such injury has to weigh-in the benefits and risks of open surgery versus endovascular intervention. This can be done after thorough assessment of the patient’s condition and accessibility of the injured vessel. We report a case of a 90-year-old female admitted as a case of pneumonia associated with decreased level of consciousness. She acquired an iatrogenic injury due to insertion of central venous catheter (CVC) into her dominant right VA as confirmed via CT angiography (CTA). This case report aims to highlight the role of endovascular intervention in the acute management of VA injury in a critically ill patient. Cureus 2020-08-23 /pmc/articles/PMC7444997/ /pubmed/32850268 http://dx.doi.org/10.7759/cureus.9956 Text en Copyright © 2020, Al Rayes et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Cardiac/Thoracic/Vascular Surgery
Al Rayes, Aisha
Khattak, Yasir
Qafani, Avdullah
Anwar, Muhammad
Al Sibaie, Ayman
Acute Management of Iatrogenic Injury to Vertebral Artery With Central Venous Catheter in a Critically Ill Patient
title Acute Management of Iatrogenic Injury to Vertebral Artery With Central Venous Catheter in a Critically Ill Patient
title_full Acute Management of Iatrogenic Injury to Vertebral Artery With Central Venous Catheter in a Critically Ill Patient
title_fullStr Acute Management of Iatrogenic Injury to Vertebral Artery With Central Venous Catheter in a Critically Ill Patient
title_full_unstemmed Acute Management of Iatrogenic Injury to Vertebral Artery With Central Venous Catheter in a Critically Ill Patient
title_short Acute Management of Iatrogenic Injury to Vertebral Artery With Central Venous Catheter in a Critically Ill Patient
title_sort acute management of iatrogenic injury to vertebral artery with central venous catheter in a critically ill patient
topic Cardiac/Thoracic/Vascular Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7444997/
https://www.ncbi.nlm.nih.gov/pubmed/32850268
http://dx.doi.org/10.7759/cureus.9956
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