Mittal Aditya M, Nowicki Kamil W, Fernández-de Thomas Ricardo J, Mayor Jessica, McEnaney Ryan M, Gerszten Peter C
1Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania; and.
2Division of Vascular Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
J Neurosurg Case Lessons. 2022 Sep 5;4(10). doi: 10.3171/CASE22286.
Establishing central venous access is important to provide fluid resuscitation or medications intravenously to patients.
Although accidental cannulation of the internal carotid artery has been reported in the literature, to our knowledge this report is the first documented intraoperative ultrasound video demonstrating accidental and simultaneous common carotid artery and internal jugular cannulation during central line placement in the internal jugular vein.
Ultrasound use minimizes accidental carotid cannulation during central line placement in the internal jugular vein. Carotid artery puncture can be managed by external application of pressure or surgical reexploration.
建立中心静脉通路对于为患者进行静脉液体复苏或给药至关重要。
尽管文献中已有颈内动脉意外插管的报道，但据我们所知，本报告是第一份记录在颈内静脉中心静脉置管过程中意外同时发生颈总动脉和颈内静脉插管的术中超声视频。
在颈内静脉中心静脉置管过程中使用超声可将意外颈动脉插管的情况降至最低。颈动脉穿刺可通过外部施压或手术再次探查来处理。
