Droll Kurt P, Lossing Alan G
Division of Orthopaedic Surgery, Saint Michael's Hospital, University of Toronto, Toronto, Ontario, Canada.
J Clin Anesth. 2004 Mar;16(2):127-9. doi: 10.1016/j.jclinane.2003.06.003.
Central venous catheterization is frequently performed for perioperative management and long-term intravenous access. Although the complications of central venous catheter insertion have been widely reported, there are few reports of carotid-jugular arteriovenous fistula formation. We describe a case of a carotid-jugular arteriovenous fistula following the insertion of a double-lumen catheter for hemodialysis access. We provide recommendations for the prevention and early detection of this iatrogenic complication.
中心静脉置管常用于围手术期管理和长期静脉通路。尽管中心静脉导管插入术的并发症已被广泛报道,但关于颈动静脉瘘形成的报道却很少。我们描述了一例因插入双腔导管用于血液透析通路而导致颈动静脉瘘的病例。我们提供了预防和早期发现这种医源性并发症的建议。