Document Detail

Unintended cannulation of the subclavian artery in a 65-year-old-female for temporary hemodialysis vascular access: management and prevention.
MedLine Citation:
PMID:  23091328     Owner:  NLM     Status:  MEDLINE    
Ultrasound-guided cannulation of a large-bore catheter into the internal jugular vein was performed to provide temporary hemodialysis vascular access for uremia in a 65-yr-old woman with acute renal failure and sepsis superimposed on chronic renal failure. Despite the absence of any clinical evidence such as bleeding or hematoma during the procedure, a chest x-ray and computed tomographic angiogram of the neck showed that the catheter had inadvertently been inserted into the subclavian artery. Without immediately removing the catheter and applying manual external compression, the arterial misplacement of the hemodialysis catheter was successfully managed by open surgical repair. The present case suggests that attention needs to be paid to preventing iatrogenic arterial cannulation during central vein catheterization with a large-bore catheter and to the management of its potentially devastating complications, since central vein catheterization is frequently performed by nephrologists as a common clinical procedure to provide temporary hemodialysis vascular access.
Jeong-Im Choi; Sung-Gun Cho; Joo-Hark Yi; Sang-Woong Han; Ho-Jung Kim
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2012-10-02
Journal Detail:
Title:  Journal of Korean medical science     Volume:  27     ISSN:  1598-6357     ISO Abbreviation:  J. Korean Med. Sci.     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-23     Completed Date:  2013-05-09     Revised Date:  2013-07-11    
Medline Journal Info:
Nlm Unique ID:  8703518     Medline TA:  J Korean Med Sci     Country:  Korea (South)    
Other Details:
Languages:  eng     Pagination:  1265-8     Citation Subset:  IM    
Renal Division, Department of Internal Medicine, Hanyang University Guri Hospital, Guri, Korea.
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MeSH Terms
Acidosis / complications
Acute Disease
Catheterization, Central Venous / adverse effects*
Hemorrhage / etiology
Kidney Failure, Chronic / diagnosis*
Medical Errors / prevention & control*
Oliguria / complications
Renal Dialysis
Sepsis / etiology
Subclavian Artery / injuries,  radiography*,  surgery
Tomography, X-Ray Computed
Uremia / etiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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