Endovascular repair of subclavian artery injury secondary to internal jugular vein catheterization: case report

Massive hemothorax following internal jugular vein catheterization under ultrasound guidance: A case report

“…A study involving 450 patients showed that the incidence of hemothorax was 0% under US guidance compared with 1.7% with the landmark technique [ 1 ]. However, there have been reports of hemothorax shortly after catheter insertion despite US guidance with CVC via IJV, with reported injured vessels being the right subclavian artery and the right and left brachiocephalic vein (BCV)[ 5 - 7 ]. It is known that when a dilator or catheter with a diameter greater than 7Fr is inserted into an artery, bleeding control through compression is rarely successful.…”

“…It is known that when a dilator or catheter with a diameter greater than 7Fr is inserted into an artery, bleeding control through compression is rarely successful. When a hemothorax is caused by arterial damage during CVC, rapid deterioration of vital signs can cause sudden death of the patient, and the hemothorax is only manageable through urgent surgical or interventional repair[ 5 , 8 , 9 ]. However, most vein injuries that cause hemothorax can be managed with direct compression or venous wall reconstruction by surgical approach, balloon catheter placement, or endovascular repair using endoprosthesis, with some reports even suggesting spontaneous coagulation[ 6 , 7 ].…”