A Rare Complicatıon of Internal Jugular Vein cannulatıon: horner's syndrome

Abstract

Internal jugular vein cannulation has become the preferred approach for temporary vascular access for hemodialysis. Internal jugular vein cannulation is associated with a high rate of successful catheter placement. However, significant complications such as internal carotid artery (ICA) puncture, vessel erosion, thrombosis and infection can occur. We present one case of Horner 's syndrome (without arterial punction) occurring following internal jugular venous cannulation. We suggested that, clinicians need to be aware of the risk of Horner 's syndrome as a possible complication of percutaneous hemodialysis catheterization via the internal jugular vein and should avoid repeated manipulations

Horner’s Syndrome Following Internal Jugular Catheterization: A Case Report

“…Central venous temporary dialysis catheters can be applied to the IJV, subclavian vein, and femoral vein due to indications of emergency hemodialysis (9). Due to the recent low incidence of complications, ease of intervention, and high success rates, the IJV is frequently preferred in CVC applications (5). Internal jugular vein catheterization has been reported to rarely cause HS, as well as common complications such as pneumothorax, emboli, arrhythmias, vascular injury, and hematoma (3,10,11).…”

“…In the oculosympathetic pathway, lesions may be at different levels, such as the cerebral hemisphere, hypothalamus, cervical spinal cord, T1 spinal cord, cervical sympathetic chain, and carotid plexus. Clinically, it is characterized by myosis, ptosis, enophthalmos, loss of sweating on the same side of the face, a temporary reduction in the intraocular pressure, increased accommodation amplitude, and changes in tear viscosity (3)(4)(5)12). Common causes are tumors in the lung apex, aortic dissection, carotid artery dissection, traumas in the neck region, local anesthetic injection to the IJV area and deep tissue, and epidural anesthesia (4,12).…”

“…Repeated attempts during central catheterization increase the risk of the HS development (4,5,13). Cases developing HS due to the IJV catheterization placed as a result of three or more repeated attempts have been reported (5,13,14).…”

“…Repeated attempts during central catheterization increase the risk of the HS development (4,5,13). Cases developing HS due to the IJV catheterization placed as a result of three or more repeated attempts have been reported (5,13,14). It has been noted that HS can develop around the IJV, which is a close neighbor of the cervical sympathetic chain, due to the hematoma pressure that may occur as a result of multiple attempts or the trunk damage as a result of the direct traumatic effect of the needle (5,6,13,14).…”

“…One of the rare complications is Horner's Syndrome (HS). HS has been reported in cases with the placement of a central venous catheter into the internal jugular vein (IJV) for various purposes (3)(4)(5)(6)(7)(8). In this article, it was aimed to present a case in which emergency plasmapheresis was planned due to drug intoxication and in which HS developed due to the temporary dialysis catheter placed into the IJV.…”