Ahmadi Seyed Hossein, Shirzad Mahmood, Zeraatian Sam, Salehiomran Abbas, Abbasi Seyed Hesameddin, Ghiasi Atefeh
Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran.
J Tehran Heart Cent. 2014;9(4):186-90. Epub 2014 Jul 6.
Central venous catheter (CVC) insertion is a practical way to assess patients hemodynamic specially in cardiovascular surgery but this relatively simple junior level procedure is not risk free and its common reported complications include; pneumothorax, hydrothorax, hemothorax, local hematoma, cardiac tamponade, vascular injury, thrombosis, embolism, and catheter disruption. Here in this article we are going to present 6 patients with very unusual presentation of CVC complication which was neurological deficit presented by agitation, unconsciousness, disorientation to time and place and hemiparesis. All patients undergone neurologic consult and brain computed tomography. Final diagnosis was brain ischemic damage and finally we kept them on conservative management; fortunately we did not have any permanent damage.
中心静脉导管（CVC）置入是评估患者血流动力学的一种实用方法，尤其在心血管手术中，但这种相对简单的初级操作并非没有风险，其常见的并发症包括：气胸、胸腔积液、血胸、局部血肿、心脏压塞、血管损伤、血栓形成、栓塞和导管断裂。在本文中，我们将介绍6例中心静脉导管并发症的非常不寻常的表现，即由躁动、意识丧失、时间和地点定向障碍以及偏瘫引起的神经功能缺损。所有患者均接受了神经科会诊和脑部计算机断层扫描。最终诊断为脑缺血性损伤，最后我们对他们进行了保守治疗；幸运的是，我们没有造成任何永久性损伤。
