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ST-Segment Elevation Myocardial Infarction on the Line: Inadvertent Arterial Infusion of Vasopressors Causing Acute Myocardial Infarction

Central venous catheters (CVCs), regarded as lines of life, are helpful in hemodynamic monitoring and delivering medications to patients. However, there are several complications that can result from the placement of CVCs. This includes accidental arterial puncture, which has a temporal association...

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Autores principales: Ezeh, Ebubechukwu, Smith, Kyle, Perdoncin, Maddie, Gilbert, Brittany, Rueda, Carlos, Tackett, Eva
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9846586/
https://www.ncbi.nlm.nih.gov/pubmed/36644900
http://dx.doi.org/10.1177/23247096221150729
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author Ezeh, Ebubechukwu
Smith, Kyle
Perdoncin, Maddie
Gilbert, Brittany
Rueda, Carlos
Tackett, Eva
author_facet Ezeh, Ebubechukwu
Smith, Kyle
Perdoncin, Maddie
Gilbert, Brittany
Rueda, Carlos
Tackett, Eva
author_sort Ezeh, Ebubechukwu
collection PubMed
description Central venous catheters (CVCs), regarded as lines of life, are helpful in hemodynamic monitoring and delivering medications to patients. However, there are several complications that can result from the placement of CVCs. This includes accidental arterial puncture, which has a temporal association with hemorrhage, hematoma, and stroke. Infusion of vasopressors through such a mispositioned arterial CVC further increases the risk of these complications with potential end-organ ischemia. Here, we discuss the case of a 76-year-old woman who developed a myocardial infarction, heart failure, and subarachnoid hemorrhage following the arterial infusion of vasopressors through a malpositioned CVC.
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spelling pubmed-98465862023-01-19 ST-Segment Elevation Myocardial Infarction on the Line: Inadvertent Arterial Infusion of Vasopressors Causing Acute Myocardial Infarction Ezeh, Ebubechukwu Smith, Kyle Perdoncin, Maddie Gilbert, Brittany Rueda, Carlos Tackett, Eva J Investig Med High Impact Case Rep Case Report Central venous catheters (CVCs), regarded as lines of life, are helpful in hemodynamic monitoring and delivering medications to patients. However, there are several complications that can result from the placement of CVCs. This includes accidental arterial puncture, which has a temporal association with hemorrhage, hematoma, and stroke. Infusion of vasopressors through such a mispositioned arterial CVC further increases the risk of these complications with potential end-organ ischemia. Here, we discuss the case of a 76-year-old woman who developed a myocardial infarction, heart failure, and subarachnoid hemorrhage following the arterial infusion of vasopressors through a malpositioned CVC. SAGE Publications 2023-01-16 /pmc/articles/PMC9846586/ /pubmed/36644900 http://dx.doi.org/10.1177/23247096221150729 Text en © 2023 American Federation for Medical Research https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Case Report
Ezeh, Ebubechukwu
Smith, Kyle
Perdoncin, Maddie
Gilbert, Brittany
Rueda, Carlos
Tackett, Eva
ST-Segment Elevation Myocardial Infarction on the Line: Inadvertent Arterial Infusion of Vasopressors Causing Acute Myocardial Infarction
title ST-Segment Elevation Myocardial Infarction on the Line: Inadvertent Arterial Infusion of Vasopressors Causing Acute Myocardial Infarction
title_full ST-Segment Elevation Myocardial Infarction on the Line: Inadvertent Arterial Infusion of Vasopressors Causing Acute Myocardial Infarction
title_fullStr ST-Segment Elevation Myocardial Infarction on the Line: Inadvertent Arterial Infusion of Vasopressors Causing Acute Myocardial Infarction
title_full_unstemmed ST-Segment Elevation Myocardial Infarction on the Line: Inadvertent Arterial Infusion of Vasopressors Causing Acute Myocardial Infarction
title_short ST-Segment Elevation Myocardial Infarction on the Line: Inadvertent Arterial Infusion of Vasopressors Causing Acute Myocardial Infarction
title_sort st-segment elevation myocardial infarction on the line: inadvertent arterial infusion of vasopressors causing acute myocardial infarction
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9846586/
https://www.ncbi.nlm.nih.gov/pubmed/36644900
http://dx.doi.org/10.1177/23247096221150729
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