Interventional treatment of arterial injury during blind central venous catheterisation in the upper thorax: experience from two centres

2020 ◽  
Vol 75 (2) ◽  
pp. 158.e1-158.e7 ◽  
Author(s):  
S. Park ◽  
B. Jeong ◽  
J.H. Shin ◽  
J.H. Kim ◽  
J.W. Kim ◽  
...  
Keyword(s):  
Arterial Injury ◽  
Interventional Treatment ◽  
Central Venous ◽  
Central Venous Catheterisation

Hybride Approach to an Iatrogenic Subclavian Arterial Injury During Central Venous Catheterisation: Case Report

2013 ◽  
Vol 22 (1) ◽  
pp. 80-82
Author(s):  
Kerem ORAL ◽  
Zehra BAYRAMOĞLU ◽  
Ertan SAĞBAŞ ◽  
Belhan AKPINAR ◽  
Zeynep ÇAYNAK
Keyword(s):  
Case Report ◽  
Arterial Injury ◽  
Central Venous ◽  
Central Venous Catheterisation

scholarly journals A systematic review of management of inadvertent arterial injury during central venous catheterisation

2016 ◽  
Vol 18 (2) ◽  
pp. 97-102 ◽  
Author(s):  
Oliver G.B. Dixon ◽  
George E. Smith ◽  
Daniel Carradice ◽  
Ian C. Chetter
Keyword(s):  
Systematic Review ◽  
Surgical Repair ◽  
Management Strategies ◽  
Arterial Injury ◽  
High Rate ◽  
Central Venous ◽  
Central Venous Catheterisation ◽  
Endovascular Methods ◽  
Rate Of Success ◽  
Poor Management

Introduction Central venous catheterisation (CVC) is a technique commonly used to obtain vascular access and over five million CVCs are inserted annually. This systematic review of CVC-related arterial injury aims to compare outcomes reported with different management strategies. Methods PRISMA guidelines were followed. A search of Medline, Embase, Central and CINAHL was performed. Results were limited to papers in humans and in English with duplicates removed. Details of cases including site and nature of arterial injury, use of ultrasound, methods for identifying arterial placement, management methods used, and any reported outcomes were collated from all papers. Successful management was defined as control of haemorrhage without evidence of further complications. Results We screened 2187 abstracts and 78 full manuscripts were obtained and reviewed. Twenty-four papers were of relevance and were included in this review. Amongst the papers, 80 cases of arterial injury were reported. Successful treatment by removal and compression, endovascular methods, and open surgical repair were 5.6%, 94.6% and 100%, respectively. Discussion Removal and compression of the arterial site is a poor management method and is associated with a high rate of complications. Endovascular approaches had a high rate of success with advantages of endovascular techniques including access to arteries which are difficult to expose surgically and avoidance of general anaesthesia. Endovascular repair might be considered depending on site of injury or local expertise though surgical repair reported the best results in this review with no complications seen.

scholarly journals Arterial Placement of Central Venous Catheters

2020 ◽  
Vol 15 (3) ◽  
pp. 45-48
Author(s):  
Benjamin Wierstra ◽  
Selena Au ◽  
Paul Cantle ◽  
Kenton Rommens
Keyword(s):  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Posterior Wall ◽  
Arterial Injury ◽  
Central Venous Catheters ◽  
Ultrasound Guided ◽  
Central Venous ◽  
Carotid Injury ◽  
Radiologie Interventionnelle ◽  
The Common

Arterial misplacement of central venous catheters can often be avoided with the use of real-time ultrasound-guided procedural competency.  However, misplacement can still occur and is more likely to occur when the internal jugular vein is located directly above the common carotid injury.  The resultant injury to the common carotid artery occurs through the posterior wall of the internal jugular vein.  Arterial injury may also occur when the subclavian vein is attempted in a non-ultrasound-guided fashion.  Optimal management requires a coordinated evaluation of the catheter misplacement by Interventional Radiology and Vascular Surgery to ensure maximum patient safety during catheter removal.  This article reviews the literature around this topic and provides a summary of the best approach to safely remove the misplaced catheter. Resume Le mauvais positionnement artériel des cathéters veineux centraux peut souvent être évité grâce à l'utilisation de compétences procédurales guidées par ultrasons en temps réel.  Cependant, un mauvais positionnement peut toujours se produire et est plus susceptible de se produire lorsque la veine jugulaire interne est située directement au-dessus de la lésion carotidienne commune.  La lésion de l'artère carotide commune qui en résulte se produit à travers la paroi postérieure de la veine jugulaire interne.  Une lésion artérielle peut également se produire lorsque la veine sous-clavière n'est pas guidée par un ultrason.  Une gestion optimale nécessite une évaluation coordonnée du mauvais positionnement du cathéter par la radiologie interventionnelle et la chirurgie vasculaire afin de garantir une sécurité maximale au patient lors du retrait du cathéter.  Cet article passe en revue la littérature sur ce sujet et fournit un résumé de la meilleure approche pour retirer en toute sécurité le cathéter mal placé.  

scholarly journals Arteriovenous fistula formation after central venous catheterisation

2019 ◽  
Vol 12 (7) ◽  
pp. e230429
Author(s):  
Michael Omar ◽  
William Kogler ◽  
Christopher Izzo ◽  
Lisa Jones
Keyword(s):  
Arteriovenous Fistula ◽  
Fistula Formation ◽  
Central Venous ◽  
Central Venous Catheterisation

scholarly journals Mechanical complications of central venous catheterisation in trauma patients

2017 ◽  
Vol 99 (5) ◽  
pp. 390-393 ◽  
Author(s):  
J Odendaal ◽  
VY Kong ◽  
B Sartorius ◽  
TY Liu ◽  
YY Liu ◽  
...  
Keyword(s):  
Complication Rate ◽  
Guide Wire ◽  
Junior Doctors ◽  
Trauma Patients ◽  
Mechanical Complication ◽  
Central Venous ◽  
Central Venous Catheterisation ◽  
Mechanical Complications ◽  
Trauma Service ◽  
Catheter Dislodgement

INTRODUCTIONCentral venous catheterisation (CVC) is a commonly performed procedure in a wide variety of hospital settings and is associated with appreciable morbidity. There is a paucity of literature focusing on mechanical complications specifically in the trauma setting. The aim of our study was to determine the spectrum of mechanical complications in a high-volume trauma centre in a developing world setting where ultrasound guidance was not available.METHODSA retrospective study was performed analysing data from a four-year period at the Pietermaritzburg Metropolitan Trauma Service in South Africa.RESULTSA total of 178 mechanical complications (18%) occurred in 1,015 patients undergoing CVC: 117 pneumothoraces, 25 malpositions, 18 catheter dislodgements, 14 arterial cannulations, one air embolism, one chylothorax, one pleural cannulation and one retained guide-wire. The internal jugular vein (IJV) approach was associated with a higher overall complication rate than the subclavian vein (SCV) approach (24% vs. 13%, p<0.001). Pneumothorax (73% vs. 57%, p<0.001) and arterial cannulation (15% vs. 0%, p<0.001) were more common with the IJV. Catheter dislodgement (21% vs. 0%, p<0.001) was more common with the SCV. Junior doctors performed 66% of the CVCs and this was associated with a significantly higher complication rate (20% vs. 12%, p<0.001).CONCLUSIONSCVC carries appreciable morbidity, with pneumothorax being the most frequent mechanical complication. The SCV was the most commonly used approach at our institution. The majority of CVCs were performed by junior doctors and this was associated with a considerable complication rate.

Guidewire retention following central venous catheterisation: A human factors and safe design investigation

2014 ◽  
Vol 26 (1) ◽  
pp. 23-37 ◽  
Author(s):  
Tim Horberry ◽  
Yi-Chun Teng ◽  
James Ward ◽  
Vishal Patil ◽  
P. John Clarkson
Keyword(s):  
Human Factors ◽  
Central Venous ◽  
Central Venous Catheterisation
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