Cargando…
Case Report: Efficiency of Embolization Microcoils for the Repair of Brachiocephalic Vein Perforation During Hemodialysis Catheter Placement
Background: The cuff catheter is one of the most common routes of vascular access in hemodialysis patients, while severe complications can occur during cuff catheter placement, such as bleeding, hematoma, and artery or vein damage. During catheterization, brachiocephalic vein perforation associated...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8484305/ https://www.ncbi.nlm.nih.gov/pubmed/34604261 http://dx.doi.org/10.3389/fmed.2021.726120 |
_version_ | 1784577294108459008 |
---|---|
author | Hu, Ying Gu, Fujia Yuan, Ping Shi, Min Ma, Liang Zha, Yan Fu, Ping |
author_facet | Hu, Ying Gu, Fujia Yuan, Ping Shi, Min Ma, Liang Zha, Yan Fu, Ping |
author_sort | Hu, Ying |
collection | PubMed |
description | Background: The cuff catheter is one of the most common routes of vascular access in hemodialysis patients, while severe complications can occur during cuff catheter placement, such as bleeding, hematoma, and artery or vein damage. During catheterization, brachiocephalic vein perforation associated with a mediastinal lesion is rare. Open chest repair is effective for brachiocephalic vein perforation during catheter placement, but it entails a risk of potentially lethal trauma. Interventional treatment can be considered to reduce injury in this context, but relevant reports are limited. Case report: Herein, we describe our experience with a 68-year-old male hemodialyzed patient in whom cuff catheter vascular access was required for regular hemodialysis. He complained of mild pain in the left side of his chest during cuff catheter placement. The surgeon immediately checked the location of the catheter. Digital subtraction angiography revealed that the hemodialysis cuff catheter had punctured the mediastinal area from the left brachiocephalic vein. The patient was diagnosed with left brachiocephalic vein perforation (d ≈ 5 mm). Fortunately, the brachiocephalic vein perforation was successfully repaired with two embolization microcoils after comprehensive assessment and multidisciplinary consultation. Conclusion: Brachiocephalic vein perforation can be repaired with embolization microcoils during hemodialysis catheter placement, and this method of interventional treatment is safe and effective. |
format | Online Article Text |
id | pubmed-8484305 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-84843052021-10-02 Case Report: Efficiency of Embolization Microcoils for the Repair of Brachiocephalic Vein Perforation During Hemodialysis Catheter Placement Hu, Ying Gu, Fujia Yuan, Ping Shi, Min Ma, Liang Zha, Yan Fu, Ping Front Med (Lausanne) Medicine Background: The cuff catheter is one of the most common routes of vascular access in hemodialysis patients, while severe complications can occur during cuff catheter placement, such as bleeding, hematoma, and artery or vein damage. During catheterization, brachiocephalic vein perforation associated with a mediastinal lesion is rare. Open chest repair is effective for brachiocephalic vein perforation during catheter placement, but it entails a risk of potentially lethal trauma. Interventional treatment can be considered to reduce injury in this context, but relevant reports are limited. Case report: Herein, we describe our experience with a 68-year-old male hemodialyzed patient in whom cuff catheter vascular access was required for regular hemodialysis. He complained of mild pain in the left side of his chest during cuff catheter placement. The surgeon immediately checked the location of the catheter. Digital subtraction angiography revealed that the hemodialysis cuff catheter had punctured the mediastinal area from the left brachiocephalic vein. The patient was diagnosed with left brachiocephalic vein perforation (d ≈ 5 mm). Fortunately, the brachiocephalic vein perforation was successfully repaired with two embolization microcoils after comprehensive assessment and multidisciplinary consultation. Conclusion: Brachiocephalic vein perforation can be repaired with embolization microcoils during hemodialysis catheter placement, and this method of interventional treatment is safe and effective. Frontiers Media S.A. 2021-09-17 /pmc/articles/PMC8484305/ /pubmed/34604261 http://dx.doi.org/10.3389/fmed.2021.726120 Text en Copyright © 2021 Hu, Gu, Yuan, Shi, Ma, Zha and Fu. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Medicine Hu, Ying Gu, Fujia Yuan, Ping Shi, Min Ma, Liang Zha, Yan Fu, Ping Case Report: Efficiency of Embolization Microcoils for the Repair of Brachiocephalic Vein Perforation During Hemodialysis Catheter Placement |
title | Case Report: Efficiency of Embolization Microcoils for the Repair of Brachiocephalic Vein Perforation During Hemodialysis Catheter Placement |
title_full | Case Report: Efficiency of Embolization Microcoils for the Repair of Brachiocephalic Vein Perforation During Hemodialysis Catheter Placement |
title_fullStr | Case Report: Efficiency of Embolization Microcoils for the Repair of Brachiocephalic Vein Perforation During Hemodialysis Catheter Placement |
title_full_unstemmed | Case Report: Efficiency of Embolization Microcoils for the Repair of Brachiocephalic Vein Perforation During Hemodialysis Catheter Placement |
title_short | Case Report: Efficiency of Embolization Microcoils for the Repair of Brachiocephalic Vein Perforation During Hemodialysis Catheter Placement |
title_sort | case report: efficiency of embolization microcoils for the repair of brachiocephalic vein perforation during hemodialysis catheter placement |
topic | Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8484305/ https://www.ncbi.nlm.nih.gov/pubmed/34604261 http://dx.doi.org/10.3389/fmed.2021.726120 |
work_keys_str_mv | AT huying casereportefficiencyofembolizationmicrocoilsfortherepairofbrachiocephalicveinperforationduringhemodialysiscatheterplacement AT gufujia casereportefficiencyofembolizationmicrocoilsfortherepairofbrachiocephalicveinperforationduringhemodialysiscatheterplacement AT yuanping casereportefficiencyofembolizationmicrocoilsfortherepairofbrachiocephalicveinperforationduringhemodialysiscatheterplacement AT shimin casereportefficiencyofembolizationmicrocoilsfortherepairofbrachiocephalicveinperforationduringhemodialysiscatheterplacement AT maliang casereportefficiencyofembolizationmicrocoilsfortherepairofbrachiocephalicveinperforationduringhemodialysiscatheterplacement AT zhayan casereportefficiencyofembolizationmicrocoilsfortherepairofbrachiocephalicveinperforationduringhemodialysiscatheterplacement AT fuping casereportefficiencyofembolizationmicrocoilsfortherepairofbrachiocephalicveinperforationduringhemodialysiscatheterplacement |