Management of a massive cervical hematoma after insertion of a central venous catheter under tirofiban

被引：0

作者：

Pfister, R. ^{[1
]}

Michels, G. ^{[1
]}

机构：

[1] Univ Cologne, Herzzentrum, Klin Innere Med 3, Kerpener Str 62, D-50937 Cologne, Germany

来源：

MEDIZINISCHE KLINIK-INTENSIVMEDIZIN UND NOTFALLMEDIZIN | 2018年 / 113卷 / 08期

关键词：

Central venous line; Cardiogenic shock; GP IIb; IIIa antagonists; Arterial puncture; Hemorrhagic shock; COMPLICATIONS; HEMORRHAGE; SAFETY; RFVIIA;

D O I：

10.1007/s00063-018-0422-1

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

An 81-year-old woman with infarct-related cardiogenic shock was admitted to the cardiac catheterization laboratory. Coronary angiography revealed an occlusion of the ramus interventricularis anterior. Due to incomplete flow after the percutaneous coronary intervention with implantation of three coronary stents and high thrombus burden, tirofiban was given as abail out therapy. Acentral venous catheter (CVC) aimed at the internal jugular vein was incidentally inserted in the common carotid artery, resulting in acute dyspnea and ahemorrhagic shock due to amassive cervical hematoma. Although the CVC is afrequently used intervention in critical care, the procedure still carries some risks of iatrogenic injury. Knowledge about the emergency management of CVC-associated complications is therefore essential.

引用

页码：676 / 680

页数：5

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