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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.

DOI:10.1136/bcr-2019-231751
PMID:31704801
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6855859/
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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本文引用的文献

1
Inadvertent Arterial Placement of Central Venous Catheters: Diagnostic and Therapeutic Strategies.中心静脉导管意外动脉置入:诊断与治疗策略
Ann Vasc Surg. 2015 Nov;29(8):1567-74. doi: 10.1016/j.avsg.2015.05.030. Epub 2015 Aug 7.
2
Practice guidelines for central venous access: a report by the American Society of Anesthesiologists Task Force on Central Venous Access.中心静脉通路操作指南:美国麻醉医师协会中心静脉通路特别工作组报告
Anesthesiology. 2012 Mar;116(3):539-73. doi: 10.1097/ALN.0b013e31823c9569.
3
Management of subclavian arterial injuries following inadvertent arterial puncture during central venous catheter placement.中心静脉导管置入过程中意外动脉穿刺后锁骨下动脉损伤的处理
J Vasc Interv Radiol. 2009 Mar;20(3):396-402. doi: 10.1016/j.jvir.2008.12.409. Epub 2009 Jan 23.
4
Complications of central venous catheters: internal jugular versus subclavian access--a systematic review.中心静脉导管的并发症:颈内静脉与锁骨下静脉置管——一项系统评价
Crit Care Med. 2002 Feb;30(2):454-60. doi: 10.1097/00003246-200202000-00031.
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Stroke after internal jugular venous cannulation.颈内静脉插管后中风。
Acta Neurol Scand. 2002 Mar;105(3):235-9. doi: 10.1034/j.1600-0404.2002.1c222.x.
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Balloon tamponade for the treatment of inadvertent subclavian arterial catheter placement.
J Vasc Interv Radiol. 2000 Jul-Aug;11(7):875-7. doi: 10.1016/s1051-0443(07)61804-1.
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Incidence and management of large-bore introducer sheath puncture of the carotid artery.颈动脉大口径穿刺鞘的发生率及处理
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