Unintended Cannulation of the Subclavian Artery in a 65-Year-Old-Female for Temporary Hemodialysis Vascular Access: Management and Prevention
Journal of Korean Medical Science
;
: 1265-1268, 2012.
Article
in English
| WPRIM
| ID: wpr-164983
ABSTRACT
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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Oliguria
/
Subclavian Artery
/
Acidosis
/
Uremia
/
Catheterization, Central Venous
/
Tomography, X-Ray Computed
/
Acute Disease
/
Renal Dialysis
/
Sepsis
/
Medical Errors
Type of study:
Practice guideline
Limits:
Aged
/
Female
/
Humans
Language:
English
Journal:
Journal of Korean Medical Science
Year:
2012
Type:
Article
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