Central venous catheterization-induced right brachiocephalic vein pseudoaneurysm: Successfully treated with stent-assisted coiling
| Autor: | Sun-Ju Choi, Jae-Kwang Lim, Young Woo Do, Sang Yub Lee, Hyejin Cheon, Hoseok Lee, Tak-Hyuk Oh |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Catheterization Central Venous Venous catheterization Computed Tomography Angiography medicine.medical_treatment 030204 cardiovascular system & hematology Stent assisted coiling 030218 nuclear medicine & medical imaging 03 medical and health sciences Right brachiocephalic vein Pseudoaneurysm 0302 clinical medicine medicine Humans cardiovascular diseases Embolization Vein Aged Brachiocephalic Veins business.industry Treatment options Angiography Digital Subtraction Phlebography medicine.disease Embolization Therapeutic Surgery medicine.anatomical_structure Treatment Outcome Nephrology cardiovascular system Female Stents business Aneurysm False |
| Zdroj: | The journal of vascular access. 19(3) |
| ISSN: | 1724-6032 |
| Popis: | Introduction: Central venous catheterization–induced central vein pseudoaneurysm is rare. Several treatment options have been recommended. We describe a case of central venous catheterization–induced right brachiocephalic vein pseudoaneurysm successfully treated with an uncovered self-expandable stent-assisted coil embolization and discuss the imaging findings, treatment strategy, and review of literature associated with thoracic venous pseudoaneurysm. Case report: A 77-year-old woman was referred to our trauma center to undergo treatment for central venous catheterization-induced central vein pseudoaneurysm. The initial contrast-enhanced chest computed tomography revealed a 3.4-cm pseudoaneurysm arising from the right brachiocephalic vein and a surrounding mediastinal hematoma. The pseudoaneurysm was successfully embolized with stent-assisted coiling. Computed tomography angiography was performed 10 days after the procedure and demonstrated a completely embolized pseudoaneurysm and resolved mediastinal hematoma. Blood flow from the right subclavian and left innominate veins was not disturbed by the stent-assisted coils. Conclusion: To our knowledge, this is the first report of treatment of a right brachiocephalic vein pseudoaneurysm with stent-assisted coil embolization. We think that uncovered stent-assisted coil embolization is the safest and most fundamental treatment for wide-neck venous pseudoaneurysm especially in a hemodynamically unstable setting. |
| Databáze: | OpenAIRE |
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