Subclavian Artery Injury Following Central Venous Catheter Placement

Mechanical complications following central venous catheterization are not uncommon. We discuss a case of iatrogenic intra-arterial central venous catheter placement requiring neck exploration in a 93-year-old woman. The catheter was inadvertently passed through the jugular vein and into the right su...

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Autores principales: Sasson, Morris, Montorfano, Lisandro, Bordes, Stephen J, Sarmiento Cobos, Mauricio, Grove, Mark
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
Cardiac/Thoracic/Vascular Surgery
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8096622/
https://www.ncbi.nlm.nih.gov/pubmed/33968501
http://dx.doi.org/10.7759/cureus.14287
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author Sasson, Morris
Montorfano, Lisandro
Bordes, Stephen J
Sarmiento Cobos, Mauricio
Grove, Mark
author_facet Sasson, Morris
Montorfano, Lisandro
Bordes, Stephen J
Sarmiento Cobos, Mauricio
Grove, Mark
author_sort Sasson, Morris
collection PubMed
description Mechanical complications following central venous catheterization are not uncommon. We discuss a case of iatrogenic intra-arterial central venous catheter placement requiring neck exploration in a 93-year-old woman. The catheter was inadvertently passed through the jugular vein and into the right subclavian artery by a junior surgical resident. Adequate technique and supervision, ultrasound guidance, and immediate diagnostic workup in the event of suspected arterial injury are factors necessary for physicians to minimize complications and provide safe medical treatment.
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spelling pubmed-80966222021-05-06 Subclavian Artery Injury Following Central Venous Catheter Placement Sasson, Morris Montorfano, Lisandro Bordes, Stephen J Sarmiento Cobos, Mauricio Grove, Mark Cureus Cardiac/Thoracic/Vascular Surgery Mechanical complications following central venous catheterization are not uncommon. We discuss a case of iatrogenic intra-arterial central venous catheter placement requiring neck exploration in a 93-year-old woman. The catheter was inadvertently passed through the jugular vein and into the right subclavian artery by a junior surgical resident. Adequate technique and supervision, ultrasound guidance, and immediate diagnostic workup in the event of suspected arterial injury are factors necessary for physicians to minimize complications and provide safe medical treatment. Cureus 2021-04-04 /pmc/articles/PMC8096622/ /pubmed/33968501 http://dx.doi.org/10.7759/cureus.14287 Text en Copyright © 2021, Sasson et al. https://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
Sasson, Morris
Montorfano, Lisandro
Bordes, Stephen J
Sarmiento Cobos, Mauricio
Grove, Mark
Subclavian Artery Injury Following Central Venous Catheter Placement
title Subclavian Artery Injury Following Central Venous Catheter Placement
title_full Subclavian Artery Injury Following Central Venous Catheter Placement
title_fullStr Subclavian Artery Injury Following Central Venous Catheter Placement
title_full_unstemmed Subclavian Artery Injury Following Central Venous Catheter Placement
title_short Subclavian Artery Injury Following Central Venous Catheter Placement
title_sort subclavian artery injury following central venous catheter placement
topic Cardiac/Thoracic/Vascular Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8096622/
https://www.ncbi.nlm.nih.gov/pubmed/33968501
http://dx.doi.org/10.7759/cureus.14287
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