A Rare Case of Iatrogenic Pseudoaneurysm of the Left Brachiocephalic Vein After Central Venous Catheterization Treated With Thrombin Injection

2013 ◽  
Vol 37 (4) ◽  
pp. 1083-1086 ◽  
Author(s):  
Amr Maged Elsaadany ◽  
Fida Hasan Alaeddin ◽  
Hamad Abdulla Alsuhaibani
Keyword(s):  
Rare Case ◽  
Central Venous Catheterization ◽  
Brachiocephalic Vein ◽  
Thrombin Injection ◽  
Central Venous ◽  
Left Brachiocephalic Vein ◽  
Venous Catheterization ◽  
Iatrogenic Pseudoaneurysm

Subaortic left brachiocephalic vein and real-time ultrasound-guided puncture

2021 ◽  
pp. 112972982110346
Author(s):  
Fernando Montes-Tapia ◽  
José Arenas-Ruiz ◽  
Rosa Palma-Soto ◽  
Zelenia Garcia-Alcudia ◽  
Claudia Yasbek Rodríguez-Garza ◽  
...  
Keyword(s):  
Congenital Anomaly ◽  
Central Venous Catheterization ◽  
Brachiocephalic Vein ◽  
Central Vein ◽  
Ultrasound Guided ◽  
Central Venous ◽  
Left Brachiocephalic Vein ◽  
Venous Catheterization ◽  
Ultrasound Guided Puncture ◽  
Guided Puncture

We describe a subaortic left brachiocephalic vein, a congenital anomaly that can be suspected during the rapid central vein assessment before central venous catheterization. Since the vein descends vertically/obliquely rapidly from its origin, we suggest that the puncture should be made at a greater angle (50°–60°) than what is usually used to puncture this vein (20°–30°). Failure to identify this anomaly may cause a failed puncture or complications from the puncture of adjacent blood vessels.

Perforation of the Left Brachiocephalic Vein Secondary to Central Venous Catheterization

2010 ◽  
Vol 19 (2) ◽  
pp. 130-133 ◽  
Author(s):  
Zeki Aydin ◽  
Aziz Batu ◽  
Meltem Gursu ◽  
Ferhat Karadag ◽  
Emel Tatli ◽  
...  
Keyword(s):  
Central Venous Catheterization ◽  
Brachiocephalic Vein ◽  
Central Venous ◽  
Left Brachiocephalic Vein ◽  
Venous Catheterization

Central venous catheterization–induced right brachiocephalic vein pseudoaneurysm: Successfully treated with stent-assisted coiling

2018 ◽  
Vol 19 (3) ◽  
pp. 319-323 ◽  
Author(s):  
Sun-Ju Choi ◽  
Young Woo Do ◽  
Tak-Hyuk Oh ◽  
Hoseok Lee ◽  
Hyejin Cheon ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Coil Embolization ◽  
Central Venous Catheterization ◽  
Treatment Options ◽  
Brachiocephalic Vein ◽  
Central Vein ◽  
Central Venous ◽  
Mediastinal Hematoma ◽  
Venous Catheterization ◽  
The Right

Introduction: Central venous catheterization–induced central vein pseudoaneurysm is rare. Several treatment options have been recommended. We describe a case of central venous catheterization–induced right brachiocephalic vein pseudoaneurysm successfully treated with an uncovered self-expandable stent-assisted coil embolization and discuss the imaging findings, treatment strategy, and review of literature associated with thoracic venous pseudoaneurysm. Case report: A 77-year-old woman was referred to our trauma center to undergo treatment for central venous catheterization-induced central vein pseudoaneurysm. The initial contrast-enhanced chest computed tomography revealed a 3.4-cm pseudoaneurysm arising from the right brachiocephalic vein and a surrounding mediastinal hematoma. The pseudoaneurysm was successfully embolized with stent-assisted coiling. Computed tomography angiography was performed 10 days after the procedure and demonstrated a completely embolized pseudoaneurysm and resolved mediastinal hematoma. Blood flow from the right subclavian and left innominate veins was not disturbed by the stent-assisted coils. Conclusion: To our knowledge, this is the first report of treatment of a right brachiocephalic vein pseudoaneurysm with stent-assisted coil embolization. We think that uncovered stent-assisted coil embolization is the safest and most fundamental treatment for wide-neck venous pseudoaneurysm especially in a hemodynamically unstable setting.

scholarly journals Objective Assessment Metrics for Central Line Simulators: An Exploration of Causal Factors

2020 ◽  
Vol 64 (1) ◽  
pp. 2008-2012
Author(s):  
Jessica M. Gonzalez-Vargas ◽  
Dailen C. Brown ◽  
Jason Z. Moore ◽  
David C. Han ◽  
Elizabeth H. Sinz ◽  
...  
Keyword(s):  
Central Venous Catheterization ◽  
Objective Assessment ◽  
Central Line ◽  
Expert Interviews ◽  
Central Venous ◽  
Patient Case ◽  
Causal Factors ◽  
Venous Catheterization ◽  
Assessment Metrics ◽  
Automated Feedback

The Dynamic Haptic Robotic Trainer (DHRT) was developed to minimize the up to 39% of adverse effects experienced by patients during Central Venous Catheterization (CVC) by standardizing CVC training, and provide automated assessments of performance. Specifically, this system was developed to replace manikin trainers that only simulate one patient anatomy and require a trained preceptor to evaluate the trainees’ performance. While the DHRT system provides automated feedback, the utility of this system with real-world scenarios and expertise has yet to be thoroughly investigated. Thus, the current study was developed to determine the validity of the current objective assessment metrics incorporated in the DHRT system through expert interviews. The main findings from this study are that experts do agree on perceptions of patient case difficulty, and that characterizations of patient case difficulty is based on anatomical characteristics, multiple needle insertions, and prior catheterization.

Sign in / Sign up

Export Citation Format

Share Document