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

Pikwer, AndreasLund University,Lunds universitet,Anestesiologi och intensivvård,Forskargrupper vid Lunds universitet,Anaesthesiology and Intensive Care Medicine,Lund University Research Groups (författare)

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.

Krantz, PeterLund University,Lunds universitet,Rättsmedicin,Forskargrupper vid Lunds universitet,Forensic Medicine,Lund University Research Groups(Swepub:lu)fore-pkr (författare)
Resch, TimLund University,Lunds universitet,Vaskulära sjukdomar - kliniska studier,Forskargrupper vid Lunds universitet,Vascular Diseases - Clinical Research,Lund University Research Groups(Swepub:lu)med-tmr (författare)
Acosta, StefanLund University,Lunds universitet,Vaskulära sjukdomar - kliniska studier,Forskargrupper vid Lunds universitet,Vascular Diseases - Clinical Research,Lund University Research Groups(Swepub:lu)uro-sac (författare)
Anestesiologi och intensivvårdForskargrupper vid Lunds universitet (creator_code:org_t)

Ingår i:European Surgery: Acta Chirurgica Austriaca: Springer Science and Business Media LLC45:3, s. 179-1831682-4016
Ingår i:European Surgery: Springer Science and Business Media LLC45:3, s. 179-1831682-8631

Av författaren/redakt...: Pikwer, Andreas; Krantz, Peter; Resch, Tim; Acosta, Stefan

Om ämnet

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Kirurgi

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