scholarly journals Managing Unintentional Iatrogenic Triple Lumen Central Venous Catheter (TLCVC) Arterial Puncture

2021 ◽  
Vol 1 (2) ◽  
pp. 12-18
Author(s):  
Nurulfida’ Nusaiba M. Shukor ◽  
Ezamin Abdul Rahim ◽  
Ahmad Sobri Muda ◽  
Hariati Jamil ◽  
Heamn N Abduljabbar ◽  
...  

Unintentional arterial puncture by central venous catheter insertion/placing can result in destructive complications especially if a large bore (>7F) catheter was used. Unplanned immediate catheter ejection with manual external compression is hazardous due to potential torrential blood leakage or formation of a pseudoaneurysm. Endovascular removal with a vascular closure device deployment is preferred in this situation. The aim of this case report is to discuss the alternative strategies if the vascular closure device fails to secure hemostasis.

1991 ◽  
Vol 8 (01) ◽  
pp. 78-81 ◽  
Author(s):  
Charitha Fernando ◽  
Louis Juravsky ◽  
Joseph Yedlicka ◽  
David Hunter ◽  
Wilfrido Castañeda-Zúñiga ◽  
...  

2010 ◽  
Vol 18 (1) ◽  
pp. 73-80 ◽  
Author(s):  
Cibele Grothe ◽  
Angélica Gonçalves da Silva Belasco ◽  
Ana Rita de Cássia Bittencourt ◽  
Lucila Amaral Carneiro Vianna ◽  
Ricardo de Castro Cintra Sesso ◽  
...  

This study evaluated the incidence and risk factors of bloodstream infection (BSI) among patients with a double-lumen central venous catheter (CVC) for hemodialysis (HD) and identified the microorganisms isolated from the bloodstream. A follow-up included all patients (n=156) who underwent hemodialysis by double-lumen CVC at the Federal University of São Paulo - UNIFESP, Brazil, over a one-year period. From the group of patients, 94 presented BSI, of whom 39 had positive cultures at the central venous catheter insertion location. Of the 128 microorganisms isolated from the bloodstream, 53 were S. aureus, 30 were methicillin-sensitive and 23 were methicillin-resistant. Complications related to BSI included 35 cases of septicemia and 27 cases of endocarditis, of which 15 cases progressed to death. The incidence of BSI among these patients was shown to be very high, and this BSI progressed rapidly to the condition of severe infection with a high mortality rate.


CHEST Journal ◽  
2013 ◽  
Vol 144 (4) ◽  
pp. 299A
Author(s):  
Rakesh Vadde ◽  
Meenakshi Ghosh ◽  
Saurav Pokharel ◽  
Setu Patolia ◽  
Dharani Narendra ◽  
...  

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