Ultrasonography of a Helical Left Common Carotid Artery.
| Autor: | Busack BJ; Louisiana State University Health Sciences Center, Department of Emergency Medicine, New Orleans, Louisiana., Tran V; Ochsner Clinic Foundation, Department of Anesthesiology, New Orleans, Louisiana., Busack CD; Tulane University School of Medicine, Department of Anesthesiology, New Orleans, Louisiana., Butts CJ; Louisiana State University Health Sciences Center, Department of Emergency Medicine, New Orleans, Louisiana. |
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| Jazyk: | angličtina |
| Zdroj: | Clinical practice and cases in emergency medicine [Clin Pract Cases Emerg Med] 2020 Apr 23; Vol. 4 (2), pp. 230-231. Date of Electronic Publication: 2020 Apr 23 (Print Publication: 2020). |
| DOI: | 10.5811/cpcem.2020.2.46272 |
| Abstrakt: | Case Presentation: An 83-year-old woman was admitted to the intensive care unit for septic shock at which point an internal jugular central venous line was placed. The patient's common carotid artery was visualized in an atypical location, lateral to the internal jugular vein. Further inspection revealed the common carotid artery travelling in a rotational trajectory around the internal jugular vein. Discussion: For at least two decades, point-of-care ultrasound has become the standard of care for placing central venous lines. This surprising anatomical orientation is rare and cautions physicians to fully explore a patient's anatomy prior to placing central lines. Competing Interests: Conflicts of Interest: By the CPC-EM article submission agreement, all authors are required to disclose all affiliations, funding sources and financial or management relationships that could be perceived as potential sources of bias. The authors disclosed none. (Copyright: © 2020 Busack et al.) |
| Databáze: | MEDLINE |
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