1例因中心静脉导管置入导致医源性左椎动脉损伤的血管内治疗病例。

Endo Takashi, Takayama Toshio, Kimura Masaru, Mochizuki Yasuaki, Taniguchi Ryosuke, Hoshina Katsuyuki

Division of Vascular Surgery, Department of Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.

J Vasc Surg Cases Innov Tech. 2023 Nov 24;10(2):101368. doi: 10.1016/j.jvscit.2023.101368. eCollection 2024 Apr.

We describe a case of endovascular treatment for an iatrogenic left vertebral artery injury after central line catheter placement in a 68-year-old male patient. The patient had a massive pulmonary embolism, and a Swan-Ganz catheter was required to monitor the patient's circulatory condition. However, the catheter was inserted into the left vertebral artery and passed through the left internal jugular vein. Endovascular treatment was indicated due to the patient's poor general health. Complete hemostasis was achieved, and the postoperative course was uneventful without neurologic deficits.

我们描述了一例68岁男性患者在中心静脉导管置入后发生医源性左椎动脉损伤的血管内治疗病例。该患者发生了大面积肺栓塞，需要插入一根 Swan-Ganz 导管来监测患者的循环状况。然而，导管插入了左椎动脉并穿过了左颈内静脉。由于患者总体健康状况较差，因此选择了血管内治疗。实现了完全止血，术后过程顺利，未出现神经功能缺损。