Heparin Infusion through a Central Line Misplaced in the Carotid Artery Leading to Hemorrhagic Stroke

Khouzam, Rami N.; Soufi, Mohamad Khaled; Weatherly, Mark

doi:10.1016/j.jemermed.2012.12.026

Cited by 11 publications

(15 citation statements)

References 17 publications

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“…Rare cases of cerebrovascular events and neurologic deficits have been reported in the literature as a result of infusion through accidental arterial lines. [ 19 20 21 ]…”

Section: Vascular Complicationsmentioning

confidence: 99%

“…Nerve injury can occur with an incidence of up to 1.6%. [ 19 ] Recovery from nerve injury sustained during central venous catheter placement can take up to 6–12 months. [ 3 19 ]…”

Section: Pulmonary Complicationsmentioning

confidence: 99%

“…[ 5 ] Line stripping can be attempted in patients where fibrinolytics have failed. [ 19 ] Fibrin sheath formation does not correlate with future catheter thrombosis. [ 3 ] Unless there is a large thrombus associated with the sheath (>3 cm), simple line removal is appropriate.…”

Section: Device Dysfunctionmentioning

confidence: 99%

“…Fracture can lead to serious complications related to catheter embolization including sepsis, endocarditis, cardiac perforation, or arrhythmia. [ 19 ] Catheter fracture is preceded by pinch-off syndrome, which results in catheter malfunction from compression of the catheter by the subclavius-costoclavicular complex between the clavicle and first rib. [ 3 ] Catheter fracture can also occur during removal secondary to catheter entrapment.…”

Section: Device Dysfunctionmentioning

confidence: 99%

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Central line complications

Kornbau

Lee

Hughes

et al. 2015

Int J Crit Illn Inj Sci

241

138

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Central venous access is a common procedure performed in many clinical settings for a variety of indications. Central lines are not without risk, and there are a multitude of complications that are associated with their placement. Complications can present in an immediate or delayed fashion and vary based on type of central venous access. Significant morbidity and mortality can result from complications related to central venous access. These complications can cause a significant healthcare burden in cost, hospital days, and patient quality of life. Advances in imaging, access technique, and medical devices have reduced and altered the types of complications encountered in clinical practice; but most complications still center around vascular injury, infection, and misplacement. Recognition and management of central line complications is important when caring for patients with vascular access, but prevention is the ultimate goal. This article discusses common and rare complications associated with central venous access, as well as techniques to recognize, manage, and prevent complications.

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“…Rare cases of cerebrovascular events and neurologic deficits have been reported in the literature as a result of infusion through accidental arterial lines. [ 19 20 21 ]…”

Section: Vascular Complicationsmentioning

confidence: 99%

“…Nerve injury can occur with an incidence of up to 1.6%. [ 19 ] Recovery from nerve injury sustained during central venous catheter placement can take up to 6–12 months. [ 3 19 ]…”

Section: Pulmonary Complicationsmentioning

confidence: 99%

Section: Device Dysfunctionmentioning

confidence: 99%

Section: Device Dysfunctionmentioning

confidence: 99%

See 2 more Smart Citations

Central line complications

Kornbau

Lee

Hughes

et al. 2015

Int J Crit Illn Inj Sci

241

138

View full text Add to dashboard Cite

show abstract

“…These include but are not limited to endocarditis, cardiac perforation, arrhythmias and sepsis, therefore prompting apt recognition and appropriate inter-vention. [5] We report this case of port catheter fracture due to high syringe pressure in line with the SCARE criteria. [6]…”

Section: Introductionmentioning

confidence: 80%

A rare complication of Port-A-Catheter fracture

Milyani

Alharbi

Bustanji

et al. 2018

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Background: Obtaining a central line access is an essential procedure that is necessary in various settings to facilitate the administration of medication. An implantable central line, also known as a portacath, is a subtype with a reservoir installed into a subcutaneous pocket and attached to a catheter.Case presentation: This is a case of a fractured portacath implanted for the administration of calcium in a two year old female resulting from high syringe pressure.Discussion: Complications range from immediate injury to vascular and surrounding structures to a delayed manifestation of infection and device malfunction. Catheter fracture in vivo is a very rare complication especially in the paediatric population.Conclusions: Appropriate size of syringe should be checked with the portacath manufacturer prior to use in order to avoid fracture as a result of high syringe pressure.

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Cardiac Arrest After Central Line Placement in a Child

Unegbu

2023

Anesthesia STAT! Acute Pediatric Emergencies in PACU

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Heparin Infusion through a Central Line Misplaced in the Carotid Artery Leading to Hemorrhagic Stroke

Cited by 11 publications

References 17 publications

Central line complications

Central line complications

A rare complication of Port-A-Catheter fracture

Cardiac Arrest After Central Line Placement in a Child

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