AI Article Synopsis
- Mechanical complications from central venous catheterization occur frequently, as demonstrated by a case involving a 93-year-old woman who experienced an accidental iatrogenic intra-arterial placement.
- A junior surgical resident mistakenly inserted the catheter through the jugular vein into the right subclavian artery, necessitating neck surgery for correction.
- Emphasizing the importance of proper technique, supervision, ultrasound guidance, and prompt assessment of potential arterial injuries can help reduce such complications in clinical practice.
Article Abstract
Mechanical complications following central venous catheterization are not uncommon. We discuss a case of iatrogenic intra-arterial central venous catheter placement requiring neck exploration in a 93-year-old woman. The catheter was inadvertently passed through the jugular vein and into the right subclavian artery by a junior surgical resident. Adequate technique and supervision, ultrasound guidance, and immediate diagnostic workup in the event of suspected arterial injury are factors necessary for physicians to minimize complications and provide safe medical treatment.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8096622 | PMC |
| http://dx.doi.org/10.7759/cureus.14287 | DOI Listing |
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