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Fatal arterial complications following ultrasound-guided attempt of internal jugular vein catheterization

Pikwer, Andreas LU ; Krantz, Peter LU ; Resch, Tim LU and Acosta, Stefan LU (2013) In European Surgery: Acta Chirurgica Austriaca 45(3). p.179-183
Abstract
Puncture of the posterior venous wall during ultrasound-guided internal jugular vein cannulation seems to be common, making underlying artery at risk of injury. Two cases of injury through the posterior wall of the internal jugular vein and an injury to the underlying artery are reported. In case number 1, a small injury of the carotid arterial wall resulted in a retrograde dissection of the common carotid artery and ascending part of the aorta, causing a fatal cardiac tamponade-a sequence of events never previously described. In case number 2, an unexpected injury to the thyrocervical trunk in a severely thrombocytopenic patient caused an extensive hematoma that compromised the upper airway, eventually leading to a fatal outcome. These... (More)
Puncture of the posterior venous wall during ultrasound-guided internal jugular vein cannulation seems to be common, making underlying artery at risk of injury. Two cases of injury through the posterior wall of the internal jugular vein and an injury to the underlying artery are reported. In case number 1, a small injury of the carotid arterial wall resulted in a retrograde dissection of the common carotid artery and ascending part of the aorta, causing a fatal cardiac tamponade-a sequence of events never previously described. In case number 2, an unexpected injury to the thyrocervical trunk in a severely thrombocytopenic patient caused an extensive hematoma that compromised the upper airway, eventually leading to a fatal outcome. These two reported fatal arterial complications during ultrasound-guided cannulation of the internal jugular vein add to other publications of complications after central vein catheterization. It is important to increase awareness of these avoidable serious complications. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Catheterization, Central venous, Carotid dissection, Cardiac tamponade, Hemorrhage
in
European Surgery: Acta Chirurgica Austriaca
volume
45
issue
3
pages
179 - 183
publisher
Springer
external identifiers
  • wos:000320454700009
  • scopus:84879419356
ISSN
1682-4016
DOI
10.1007/s10353-013-0193-0
language
English
LU publication?
yes
id
f8df33f3-28ed-42bf-9e58-e29f1a5dde6c (old id 3990327)
date added to LUP
2013-09-02 07:28:43
date last changed
2019-02-20 02:08:13
@article{f8df33f3-28ed-42bf-9e58-e29f1a5dde6c,
  abstract     = {Puncture of the posterior venous wall during ultrasound-guided internal jugular vein cannulation seems to be common, making underlying artery at risk of injury. Two cases of injury through the posterior wall of the internal jugular vein and an injury to the underlying artery are reported. In case number 1, a small injury of the carotid arterial wall resulted in a retrograde dissection of the common carotid artery and ascending part of the aorta, causing a fatal cardiac tamponade-a sequence of events never previously described. In case number 2, an unexpected injury to the thyrocervical trunk in a severely thrombocytopenic patient caused an extensive hematoma that compromised the upper airway, eventually leading to a fatal outcome. These two reported fatal arterial complications during ultrasound-guided cannulation of the internal jugular vein add to other publications of complications after central vein catheterization. It is important to increase awareness of these avoidable serious complications.},
  author       = {Pikwer, Andreas and Krantz, Peter and Resch, Tim and Acosta, Stefan},
  issn         = {1682-4016},
  keyword      = {Catheterization,Central venous,Carotid dissection,Cardiac tamponade,Hemorrhage},
  language     = {eng},
  number       = {3},
  pages        = {179--183},
  publisher    = {Springer},
  series       = {European Surgery: Acta Chirurgica Austriaca},
  title        = {Fatal arterial complications following ultrasound-guided attempt of internal jugular vein catheterization},
  url          = {http://dx.doi.org/10.1007/s10353-013-0193-0},
  volume       = {45},
  year         = {2013},
}