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| http://dx.doi.org/10.14744/AnatolJCardiol.2020.40524 | DOI Listing |
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Removal of microcatheter entrapped in the middle cerebral artery in a neonate via common carotid arteriotomy.
J Vasc Surg Cases Innov Tech
February 2025
Department of Vascular Surgery, Sir Charles Gairdner Hospital, Perth, Australia.
A 2-day-old neonate was referred to the vascular surgery service owing to concerns of limb perfusion after entrapment of a microcatheter in the middle cerebral artery. The catheter was inserted via the umbilical artery to treat a vein of Galen arteriovenous malformation. This catheter inadvertently became entrapped owing to device failure, was cut at the insertion site, and left in situ for 3 months.
View Article and Find Full Text PDFDetection of Severe Neurological Complications Caused by the Removal of Central Venous Catheter Accidentally Inserted in the Epidural Space via Motor-Evoked Potential: A Case Report.
Cureus
October 2024
Department of Anesthesiology, Seirei Hamamatsu General Hospital, Hamamatsu, JPN.
Article Synopsis
- The central venous catheter (CVC) has been in use for over 50 years, originally for total parenteral nutrition, but its applications have expanded to areas like chemotherapy and intensive care, accompanying increased complications.
- Despite guidelines for safe CVC insertion, the risks associated with CVC removal have been overlooked, leading to potential complications such as air embolism, airway obstruction, and neurological issues.
- A case is presented where a CVC was improperly placed in the epidural space, resulting in arterial bleeding and neurological deterioration after its removal, necessitating emergency interventions.
Surgery for Pediatric Trigger Finger.
JBJS Essent Surg Tech
November 2024
Shriners Children's Philadelphia, Philadelphia, Pennsylvania.
Article Synopsis
- - Pediatric trigger finger (PTF) is rare and more challenging to treat than trigger thumb, with surgical treatment showing a much higher success rate (97.1% resolution) compared to nonoperative methods (30% resolution).
- - Nonoperative treatments like monitoring and splinting are often ineffective, and surgical intervention involves releasing the A1 pulley and removing a slip of the flexor tendon to restore finger motion.
- - The outlined surgical procedure includes several steps, such as anesthesia and careful identification of nerves and blood vessels, to ensure a successful outcome for affected children.
Use of suture-mediated closure device system after inadvertent medport placement in the subclavian artery leading to multi-focal ischaemic infarct: a case report.
Eur Heart J Case Rep
November 2024
Division of Cardiology, Department of Internal Medicine, University of Puerto Rico, Medical Sciences Campus, School of Medicine, PO Box 365067, San Juan, PR 00936-5067, USA.
Background: Totally implantable venous access devices or chemoports are progressively being used in oncologic patients for long-term chemotherapy administration. We present the case of an iatrogenic arterial catheter placement in the aortic arch complicated with multi-focal ischaemic stroke.
Case Summary: A case of a 73-year-old woman with a history of hypertension, diabetes mellitus, pineal gland tumour status post ventriculoperitoneal shunt, and breast and bladder cancer presented with a 2-week history of impaired balance, dysarthria, and right-sided facial drop.
The Problem to a Solution: A Case of Local Anesthetic-Related Acute Pancreatitis.
Cureus
October 2024
General Surgery, Northwell Health Staten Island University Hospital, New York, USA.
Although rare, local anesthetic use has been associated with adverse central nervous system and cardiovascular adverse events. One complication is local anesthetic systemic toxicity (LAST), wherein the anesthetic agent inadvertently enters systemic circulation resulting in widespread inhibition of fast-gated sodium channels. Organs dependent on aerobic metabolism, such as the heart and brain, are especially susceptible to toxic injury resulting in cardiovascular collapse.
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