Management of Inadvertent Arterial Catheterisation Associated with Central Venous Access Procedures.
Pikwer, Andreas LU ; Acosta, Stefan LU
; Kölbel, Tilo
LU
; Malina, Martin
LU
; Sonesson, Björn
LU
and Åkeson, Jonas
LU
(2009)
In European journal of vascular and endovascular surgery
38.
p.707-714
- Abstract
- OBJECTIVE: This study aims to describe the clinical management of inadvertent arterial catheterisation after attempted central venous catheterisation. METHODS: Patients referred for surgical or endovascular management for inadvertent arterial catheterisation during a 5-year period were identified from an endovascular database, providing prospective information on techniques and outcome. The corresponding patient records and radiographic reports were analysed retrospectively. RESULTS: Eleven inadvertent arterial (four common carotid, six subclavian and one femoral) catheterisations had been carried out in 10 patients. Risk factors were obesity (n=2), short neck (n=1) and emergency procedure (n=4). All central venous access procedures but... (More)
- OBJECTIVE: This study aims to describe the clinical management of inadvertent arterial catheterisation after attempted central venous catheterisation. METHODS: Patients referred for surgical or endovascular management for inadvertent arterial catheterisation during a 5-year period were identified from an endovascular database, providing prospective information on techniques and outcome. The corresponding patient records and radiographic reports were analysed retrospectively. RESULTS: Eleven inadvertent arterial (four common carotid, six subclavian and one femoral) catheterisations had been carried out in 10 patients. Risk factors were obesity (n=2), short neck (n=1) and emergency procedure (n=4). All central venous access procedures but one had been made using external landmark techniques. The techniques used were stent-graft placement (n=6), percutaneous suture device (n=2), external compression after angiography (n=1), balloon occlusion and open repair (n=1) and open repair after failure of percutaneous suture device (n=1). There were no procedure-related complications within a median follow-up period of 16 months. CONCLUSIONS: Inadvertent arterial catheterisation during central venous cannulation is associated with obesity, emergency puncture and lack of ultrasonic guidance and should be suspected on retrograde/pulsatile catheter flow or local haematoma. If arterial catheterisation is recognised, the catheter should be left in place and the patient be referred for percutaneous/endovascular or surgical management. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1500719
- author
- Pikwer, Andreas
LU
; Acosta, Stefan
LU
; Kölbel, Tilo
LU
; Malina, Martin
LU
; Sonesson, Björn
LU
and Åkeson, Jonas
LU
- organization
- publishing date
- 2009
- type
- Contribution to journal
- publication status
- published
- subject
- in
- European journal of vascular and endovascular surgery
- volume
- 38
- pages
- 707 - 714
- publisher
- Elsevier
- external identifiers
-
- wos:000273143400007
- pmid:19800822
- scopus:71649105601
- ISSN
- 1532-2165
- DOI
- 10.1016/j.ejvs.2009.08.009
- language
- English
- LU publication?
- yes
- additional info
- The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Anaesthesiology and Intensive Care (Mö) (013241110), Emergency medicine/Medicine/Surgery (013240200), Unit for Clinical Vascular Disease Research (013242410)
- id
- 7449f034-d840-4504-9a72-a485853b0263 (old id 1500719)
- alternative location
- http://www.ncbi.nlm.nih.gov/pubmed/19800822?dopt=Abstract
- date added to LUP
- 2016-04-04 09:12:52
- date last changed
- 2022-05-16 23:22:09
@article{7449f034-d840-4504-9a72-a485853b0263,
abstract = {{OBJECTIVE: This study aims to describe the clinical management of inadvertent arterial catheterisation after attempted central venous catheterisation. METHODS: Patients referred for surgical or endovascular management for inadvertent arterial catheterisation during a 5-year period were identified from an endovascular database, providing prospective information on techniques and outcome. The corresponding patient records and radiographic reports were analysed retrospectively. RESULTS: Eleven inadvertent arterial (four common carotid, six subclavian and one femoral) catheterisations had been carried out in 10 patients. Risk factors were obesity (n=2), short neck (n=1) and emergency procedure (n=4). All central venous access procedures but one had been made using external landmark techniques. The techniques used were stent-graft placement (n=6), percutaneous suture device (n=2), external compression after angiography (n=1), balloon occlusion and open repair (n=1) and open repair after failure of percutaneous suture device (n=1). There were no procedure-related complications within a median follow-up period of 16 months. CONCLUSIONS: Inadvertent arterial catheterisation during central venous cannulation is associated with obesity, emergency puncture and lack of ultrasonic guidance and should be suspected on retrograde/pulsatile catheter flow or local haematoma. If arterial catheterisation is recognised, the catheter should be left in place and the patient be referred for percutaneous/endovascular or surgical management.}},
author = {{Pikwer, Andreas and Acosta, Stefan and Kölbel, Tilo and Malina, Martin and Sonesson, Björn and Åkeson, Jonas}},
issn = {{1532-2165}},
language = {{eng}},
pages = {{707--714}},
publisher = {{Elsevier}},
series = {{European journal of vascular and endovascular surgery}},
title = {{Management of Inadvertent Arterial Catheterisation Associated with Central Venous Access Procedures.}},
url = {{http://dx.doi.org/10.1016/j.ejvs.2009.08.009}},
doi = {{10.1016/j.ejvs.2009.08.009}},
volume = {{38}},
year = {{2009}},
}