Vertebral Artery Pseudoaneurysm A Complication After Attempted Internal Jugular Vein Catheterization in a Neurosurgical Patient

Suparna, Balethbail; Singha, Subrata Kumar; Parthasarathi, G

doi:10.1097/ana.0b013e3181f20616

Cited by 4 publications

(3 citation statements)

References 2 publications

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“…[1,2] The most significant complications that can occur are internal carotid artery puncture, pneumothorax, vessel erosion, thrombosis, airway obstruction, malposition of the catheter, and infection, with the most common being internal carotid artery puncture. [3] Muhm et al, [4] in their study of 2,104 patients who underwent central venous catheterization could only find one incident of a misdirected catheter in the smaller tributary. More recently, a few cases of vertebral artery injury via internal jugular venous catheterization have been reported, but to our knowledge, no cases involving vertebral vein cannulation exist in the literature.…”

Section: Discussionmentioning

confidence: 96%

Inadvertent vertebral vein catheterisation during transjugular vein cannulation: a rare complication

Turan¹

2013

Turk Gogus Kalp Dama

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Sağ internal jugüler ven aracılığıyla santral venöz kanü-lasyon yaygın olarak kullanılan bir teknik olup, kateterin yerleştirilme aşaması, ilerletme aşaması ve çıkarılma aşa-ması gibi farklı aşamalarda komplikasyonlara yol açabilir. Santral venöz kateterin malpozisyonu, tehlikeli sonuçlara da yol açabilmektedir. Bu yazıda, kateterin çıkarılma aşa-masında fark edilen, santral venöz kateterin yedinci vertebral foramen içerisindeki sağ vertebral vene yanlışlıkla yerleştirildiği 74 yaşında erkek bir olgu sunuldu. Central venous cannulation through the right internal jugular vein, which is a widely used technique, may lead to complications at different stages, including catheter placement stage, indwelling stage and the removal stage. Malposition of the central venous catheter may also result in catastrophic consequences. In this article, we report 74-year-old male case with misplaced central venous catheter into the right vertebral vein in seventh vertebral foramen, which was detected at the catheter removal stage.

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Section: Discussionmentioning

confidence: 96%

Inadvertent vertebral vein catheterisation during transjugular vein cannulation: a rare complication

Turan¹

2013

Turk Gogus Kalp Dama

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“…[23] Complications that can occur are internal carotid artery puncture, pneumothorax, thrombosis, malposition of the catheter, and infection, with the most common being internal carotid artery puncture, because of the proximity of the artery and vein. [4] Early identification and management of complications associated with central line placement are an important component of safe anesthesia practice.…”

Section: Discussionmentioning

confidence: 99%

Inadvertent carotid artery cannulation with malposition of catheter tip in right ventricle in tetralogy of fallot patient undergoing total intracardiac repair – A case report

et al. 2019

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Central venous catheterization is an essential procedure in patient undergoing cardiac surgery, as it provides central venous pressure monitoring, fluid administration, and infusion of inotropes during perioperative period. In the cardiac surgery, where the patients are anticoagulated, an inadvertent arterial puncture can lead to serious complications. Hematoma following inadvertent arterial puncture is one of the common complications, which can compromise cerebral circulation. We report a rare case of inadvertent cannulation of internal carotid artery in patients of tetralogy of Fallot undergoing intracardiac repair during an attempt to cannulate internal jugular vein.

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“…4,5 We believe many operators are relatively unaware of the proximity of such vessels and there is little information in the clinical literature, showing ultrasound images or outlining clinical risks from such vessels. It is likely that some arterial punctures, and subsequent complications, attributed to the carotid actually arise from these vessels.…”

Section: Introductionmentioning

confidence: 99%

Arterial vessels behind the right internal jugular vein with relevance to central venous catheterisation

Chandra

Start

Roberts

et al. 2015

Journal of the Intensive Care Society

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During right internal jugular vein cannulation, complications can arise due to transfixion of the posterior wall and damage to other vessels. The risks to the subclavian artery and its branches are less well appreciated than the carotid artery. Example images are lacking in the literature. Using ultrasound and cadaveric studies, we aim to provide clinically relevant images of at-risk vessels posterior to the right internal jugular vein to emphasise their close proximity, and provide strategies to avoid potential complications. Using ultrasound in 24 patients, we found the presence of numerous arterial vessels (excluding the carotid) within 8.0 mm of the posterior wall of the right internal jugular vein at the levels of the mastoid, cricoid and supraclavicular region. Cadaveric dissections further highlighted the close proximity of numerous branches of the subclavian artery. Vulnerable branches of the subclavian artery include the thyrocervical trunk, inferior thyroid and vertebral arteries. More inferior approaches to right internal jugular vein cannulation are likely to put more arterial branches at risk. Higher resolution ultrasound enables visualisation of these arteries prior to cannulation. If identified, measures should be taken to avoid vein transfixion and arterial damage.

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Vertebral Artery Pseudoaneurysm A Complication After Attempted Internal Jugular Vein Catheterization in a Neurosurgical Patient

Cited by 4 publications

References 2 publications

Inadvertent vertebral vein catheterisation during transjugular vein cannulation: a rare complication

Inadvertent vertebral vein catheterisation during transjugular vein cannulation: a rare complication

Inadvertent carotid artery cannulation with malposition of catheter tip in right ventricle in tetralogy of fallot patient undergoing total intracardiac repair – A case report

Arterial vessels behind the right internal jugular vein with relevance to central venous catheterisation

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