Management of inadvertent vertebral artery injury due to central venous catheterization in a coagulopathic patient

被引：8

作者：

Yamamoto, Akitaka ^{[1
,2
]}

Suzuki, Kei ^{[1
]}

Sakaida, Hiroshi ^{[3
]}

Suzuki, Hidenori ^{[2
]}

Imai, Hiroshi ^{[1
]}

机构：

[1] Mie Univ Hosp, Emergency & Crit Care Ctr, 2-174,Edobashi, Tsu, Mie 5148507, Japan

[2] Mie Univ, Grad Sch Med, Dept Neurosurg, Tsu, Mie, Japan

[3] Mie Univ, Grad Sch Med, Dept Innovat Neurointervent Radiol, Tsu, Mie, Japan

来源：

ACUTE MEDICINE & SURGERY | 2016年 / 3卷 / 03期

关键词：

Arteriovenous fistulae; coagulopathy; endovascular techniques; jugular veins; N-butyl-2-cyanoacrylate;

D O I：

10.1002/ams2.177

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Case: A 72-year-old man was admitted to the intensive care unit for severe pancreatitis with coagulopathy. He underwent hemodialysis catheter insertion into the internal jugular vein that subsequently leaked arterial blood; vertebral artery cannulation was suspected following a computed tomography scan. Outcome: Under angiographic guidance, the catheter was removed, and an arteriovenous fistula was identified. The patient was successfully treated with endovascular embolization of the affected vertebral artery with detachable coils and N-butyl-2-cyanoacrylate. Conclusion: Despite ultrasound guidance, vertebral cannulation can occur, which can result in serious complications. Prompt management is needed to prevent further sequelae. Endovascular embolization with detachable coils and N-butyl-2-cyanoacrylate appears to be an effective option for vertebral artery injury in patients with coagulopathy.

引用

页码：265 / 267

页数：3

共 9 条

[1]

AUBANIAC R, 1952, PRESSE MED, V60, P1456

[2] Arterial trauma during central venous catheter insertion: Case series, review and proposed algorithm [J].

Guilbert, Marie-Christine ;

Elkouri, Stephane ;

Bracco, David ;

Corriveau, Marc M. ;

Beaudoin, Nathalie ;

Dubois, Marc Jacques ;

Bruneau, Luc ;

Blair, Jean-Francois .

JOURNAL OF VASCULAR SURGERY, 2008, 48 (04) :918-925

[3] Does ultrasound imaging before puncture facilitate internal jugular vein cannulation? Prospective randomized comparison with landmark-guided puncture in ventilated patients [J].

Hayashi, H ;

Amano, M .

JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA, 2002, 16 (05) :572-575

[4]

Henjarappa KS, 2015, INT J RES MED SCI, V3, P693

[5] Iatrogenic vertebral artery injury [J].

Inamasu, J ;

Guiot, BH .

ACTA NEUROLOGICA SCANDINAVICA, 2005, 112 (06) :349-357

[6] Endovascular Treatment of Symptomatic High-Flow Vertebral Arteriovenous Fistula as a Complication after Cl Screw Insertion [J].

Jang, Hyun Jun ;

Oh, Se-yang ;

Shim, Yu Shik ;

Yoon, Seung Hwan .

JOURNAL OF KOREAN NEUROSURGICAL SOCIETY, 2014, 56 (04) :348-352

[7] Future directions for ultrasound-guided central venous access [J].

O'Leary, Ronan ;

Bodenham, Andrew .

EUROPEAN JOURNAL OF ANAESTHESIOLOGY, 2011, 28 (05) :327-328

[8] FATAL BRAIN-STEM STROKE FOLLOWING INTERNAL JUGULAR-VEIN CATHETERIZATION [J].

SLOAN, MA ;

MUELLER, JD ;

ADELMAN, LS ;

CAPLAN, LR .

NEUROLOGY, 1991, 41 (07) :1092-1095

[9] Evaluation of Transcatheter Arterial Embolization with Gelatin Sponge Particles, Microcoils, and N-butyl Cyanoacrylate for Acute Arterial Bleeding in a Coagulopathic Condition [J].

Yonemitsu, Takafumi ;

Kawai, Nobuyuki ;

Sato, Morio ;

Tanihata, Hirohiko ;

Takasaka, Isao ;

Nakai, Motoki ;

Minamiguchi, Hiroki ;

Sahara, Shinya ;

Iwasaki, Yasuhiro ;

Shima, Yukihiro ;

Shinozaki, Maki ;

Naka, Toshio ;

Shinozaki, Masahiro .

JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, 2009, 20 (09) :1176-1187

← 1 →