The thoracic paravertebral block (TPVB), while relatively safe, can be associated with significant complications, including inadvertent vascular injury. We describe an ultrasound-guided TPVB where a pulsatile artery was identified between the two transverse processes and in close proximity to the T7-8 paravertebral space, likely the dorsal branch of the posterior intercostal artery. A similar artery was also noted one intercostal space cephalad and caudal of this area. The use of ultrasound allowed for real-time visualization of the needle, minimizing the risk of arterial puncture.
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| http://dx.doi.org/10.7759/cureus.78276 | DOI Listing |
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