中心静脉导管意外置入动脉：采用血管内治疗进行挽救
Inadvertent arterial placement of central venous catheter: salvage using endovascular treatment.
作者信息
Shaw Manish, Chandrashekhara Sheragaru Hanumanthappa, Sharma Arun, Kumar Sanjeev
机构信息
CVR & EI, All India Institute of Medical Sciences, New Delhi, India.
Radiodiagnosis, All India Institute of Medical Sciences, New Delhi, India.
出版信息
BMJ Case Rep. 2019 Nov 7;12(11):e231751. doi: 10.1136/bcr-2019-231751.
Abstract
The frequency of placing a central venous catheter (CVC) has increased and it is often performed in emergency situation for venous access. During such an emergency and placing without imaging guidance, sometimes inadvertent placement of CVC in subclavian artery (SCA) can occur. We hereby describe an unusual case of successful endovascular management of inadvertently inserted CVC in SCA by covered stent graft placement along with proper clinical context to manage a case of misplaced venous catheter in left SCA.
摘要
中心静脉导管（CVC）置入的频率有所增加，且常在紧急情况下进行以建立静脉通路。在这种紧急且无影像引导的置管过程中，有时会发生CVC意外置入锁骨下动脉（SCA）的情况。我们在此描述一例罕见病例，通过置入覆膜支架成功地对意外插入SCA的CVC进行了血管腔内处理，并结合适当的临床背景来处理一例左SCA静脉导管误置的病例。
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