The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Vasc Endovascular Surg. 2024 Aug;58(6):676-679. doi: 10.1177/15385744241247535. Epub 2024 Apr 22.
Carotid artery puncture is a common complication of internal jugular vein (IJV) catheterization. However, there are few reports about an aneurysm from the carotid artery that can develop into an occult mediastinal hematoma, leading to airway compression. In this case study, we present the case of a 71-year-old male who experienced an aneurysm and delayed mediastinal hematoma, ultimately resulting in airway compression after right jugular line insertion. Our findings highlight the importance of not only addressing local hematoma formation at the puncture site promptly, but also recognizing the potential for aneurysm extension into the mediastinum and the formation of an occult hematoma, which can lead to airway compression. Additionally, we provide a summary of landmark technique precautions that can help reduce the occurrence of such severe complications.
颈动脉穿刺是颈内静脉（IJV）置管的常见并发症。然而，关于颈动脉假性动脉瘤发展为隐匿性纵隔血肿并导致气道压迫的报道较少。在本病例研究中，我们报告了一例 71 岁男性患者，他在右侧颈静脉置管后出现了假性动脉瘤和迟发性纵隔血肿，最终导致气道压迫。我们的研究结果强调了不仅要及时处理穿刺部位的局部血肿形成，还要认识到假性动脉瘤向纵隔延伸并形成隐匿性血肿的可能性，这可能导致气道压迫。此外，我们还总结了一些重要的技术要点，可以帮助减少此类严重并发症的发生。
