Dialysis Catheter Placement via the Left Internal Jugular Vein: Risk of Brachiocephalic Vein Perforation
| Autor: | Marc R. Scheltinga, Michiel B. Winkes, Maarten J. A. Loos, Joep A.W. Teijink |
|---|---|
| Přispěvatelé: | MUMC+: MA AIOS Heelkunde (9), Epidemiologie, RS: CARIM School for Cardiovascular Diseases, RS: CARIM - R3.08 - Regenerative and reconstructive medicine for vascular disease |
| Rok vydání: | 2016 |
| Předmět: |
Male
Brachiocephalic vein Catheterization Central Venous medicine.medical_specialty Computed Tomography Angiography medicine.medical_treatment Perforation (oil well) 030232 urology & nephrology 030204 cardiovascular system & hematology Radiography Interventional 03 medical and health sciences Catheters Indwelling 0302 clinical medicine Device removal Renal Dialysis Risk Factors Central Venous Catheters Humans Medicine Internal jugular vein Device Removal Ultrasonography Interventional Tesio (R) catheters Brachiocephalic Veins Computed tomography angiography Aged 80 and over Perforation Left internal jugular vein medicine.diagnostic_test business.industry Suture Techniques Central venous catheter insertion Hemodynamics Equipment Design Phlebography Dialysis catheter Vascular System Injuries Sternotomy Treatment Outcome Regional Blood Flow Nephrology Kidney Failure Chronic Surgery Radiology Jugular Veins business Central venous catheter |
| Zdroj: | Journal of vascular access, 17(4), E75-E78. SAGE Publications Ltd |
| ISSN: | 1724-6032 1129-7298 |
| DOI: | 10.5301/jva.5000566 |
| Popis: | Purpose We discuss a case of a brachiocephalic vein (BCV) perforation after Tesio® central venous catheter insertion. Method and Results An 80-year-old patient underwent an ultrasound-guided hemodialysis (HD) catheter placement via his left internal jugular vein (IJV). One day postoperatively, the patient became hemodynamically unstable immediately after HD initiation. As a vascular event was feared, an emergency CT scan was performed demonstrating a BCV perforation. The patient underwent a sternotomy, the lines were removed and the venous laceration was closed. The patient recovered well. Conclusions In spite of ultrasound guidance, fluoroscopy for guidewire and sheath advancement, venous blood aspiration and a normal appearing postoperative x-ray, traumatic central venous catheter placement is still possible. Tenting of the BCV wall during catheter advancement possibly caused the venous perforation. A ‘how-to’ for correct catheter placement via the IJV is provided and potential pitfalls during each procedural step are discussed. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|