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- W2063597017 abstract "Accidental arterial punctures while attempting central venous access through the internal jugular vein are uncommon (0.1% to 0.4%). 1 Sneff M Central venous catheters. in: 2nd ed. Intensive care medicine. : Little Brown, Boston1991: 17-37 Google Scholar , 2 Tyden H Cannulation of the internal jugular vein–500 cases. Acta Anaesthesiol Scand. 1982; 26: 485-488 Crossref PubMed Scopus (37) Google Scholar Though rare, the carotid artery is the most common artery penetrated when internal jugular vein access is attempted, and inadvertent subclavian artery puncture is even rarer. 1 Sneff M Central venous catheters. in: 2nd ed. Intensive care medicine. : Little Brown, Boston1991: 17-37 Google Scholar , 2 Tyden H Cannulation of the internal jugular vein–500 cases. Acta Anaesthesiol Scand. 1982; 26: 485-488 Crossref PubMed Scopus (37) Google Scholar , 3 Shield 3rd, CF Richardson JD Buckley CJ Hagood Jr, CO Pseudoaneurysm of the brachiocephalic arteries: complication of percutaneous internal jugular vein catheterization. Surgery. 1975; 78: 190-194 PubMed Google Scholar , 4 Pastores S Marin ML Veith FJ Bakal CW Kvetan V Endovascular stented graft repair of a pseudoaneurysm of the subclavian artery caused by percutaneous internal jugular vein cannulation: case report. Am J Crit Care. 1995; 4: 472-475 PubMed Google Scholar Pseudoaneurysm formation, arterial venous fistula, and arterial dissection represent potentially serious complications of inadvertent arterial puncture. Iatrogenic pseudoaneurysms, particularly of the femoral artery (a common site of pseudoaneurysms because the femoral artery is often accessed for diagnostic procedures), can be treated with external compression and ultrasound-guided compression (UGC) or UGC alone. Successful external compression of a subclavian artery pseudoaneurysm is difficult to accomplish because of the depth of the artery and the overlying position of the clavicle. These factors often limit access to the neck of the pseudoaneurysm and, therefore, make UGC difficult. The lack of noninvasive access to the subclavian artery for compressive techniques often means that the patient will require surgery for the pseudoaneurysm repair (a thoracotomy is typically required to obtain proximal control of the artery). Endovascular approaches have been developed and are increasingly used to treat inaccessible pseudoaneurysms." @default.
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- W2063597017 date "2000-06-01" @default.
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- W2063597017 title "Thrombin injection for treating a subclavian artery pseudoaneurysm" @default.
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- W2063597017 doi "https://doi.org/10.1067/msy.2000.105293" @default.
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