经外周静脉穿刺中心静脉置管后发生的栓塞性卒中。

Embolic strokes after peripherally inserted central catheter placement.

作者信息

Garg Nitin, Noheria Amit, McPhail Ian R, Ricotta Joseph J

机构信息

Division of Vascular Surgery, Mayo Clinic College of Medicine, Rochester, MN, USA.

出版信息

Ann Vasc Surg. 2010 Nov;24(8):1133.e1-4. doi: 10.1016/j.avsg.2010.05.024.

DOI:10.1016/j.avsg.2010.05.024

PMID:21035706

Abstract

Peripherally inserted central catheters (PICCs) have become popular for a range of indications in both inpatient and outpatient settings. Though PICCs are generally safe, they can be associated with a variety of complications. We present here a case with embolic strokes due to inadvertent arterial placement of PICC, an uncommon but potentially life-threatening complication. A high clinical suspicion with critical evaluation of radiographs is indispensable for suspecting misplaced PICCs.

摘要

外周静脉穿刺中心静脉导管（PICCs）在住院和门诊环境中的一系列适应症中都变得很流行。尽管PICCs通常是安全的，但它们可能与多种并发症相关。我们在此介绍一例因PICC意外置入动脉导致栓塞性中风的病例，这是一种罕见但可能危及生命的并发症。对于怀疑PICC位置不当，高度的临床怀疑和对X光片的严格评估是必不可少的。