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Inadvertent puncture of right vertebral artery during central venous line catheter insertion

The use of ultrasound has been proposed to reduce the number of complications and to increase the safety and quality of central venous catheter (CVC) placement. In this report, we recommend the structures approach for US-guided to insert venous access for clinical practice. To achieve the best skill...

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Main Authors: Halim, Mohd Nabil, Md Ralib, Azrina, Nanyan, Suhaila, Abdul Ghani, Muhamad Rasydan, Ramly, Nur Fariza, Alias, Nurfatihah
Format: Article
Language:English
Published: IIUM Press 2018
Subjects:
R Medicine (General)
Online Access:http://irep.iium.edu.my/91674/1/91674_Inadvertent%20puncture%20of%20right%20vertebral.pdf
http://irep.iium.edu.my/91674/
https://journals.iium.edu.my/kom/index.php/imjm/article/view/857/575
https://doi.org/10.31436/imjm.v17i1
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spelling my.iium.irep.916742021-10-25T01:16:08Z http://irep.iium.edu.my/91674/ Inadvertent puncture of right vertebral artery during central venous line catheter insertion Halim, Mohd Nabil Md Ralib, Azrina Nanyan, Suhaila Abdul Ghani, Muhamad Rasydan Ramly, Nur Fariza Alias, Nurfatihah R Medicine (General) The use of ultrasound has been proposed to reduce the number of complications and to increase the safety and quality of central venous catheter (CVC) placement. In this report, we recommend the structures approach for US-guided to insert venous access for clinical practice. To achieve the best skill for CVC placement, The knowledge from anatomic landmark techniques and knowledge from US-guided CVC placement need to be combined and integrated. 59 years old lady, planned for total abdominal hysterectomy for pelvic tumour excision. Anticipate massive bleeding with major fluids shift during intraoperative, invasive monitoring with CVC was inserted preoperative at right internal jugular vein. The procedure of insertion was done using US-guided with out-of-plane method. While connected to CVP monitoring noted to have arterial wave. Decided to keep the central venous line in-situ and referral to radiologist for imaging was arranged. CT angiogram's findings of a catheter were seen to transverse the right internal jugular vein through-and-through and seen to lie within the right vertebral artery coursing into the right subclavian artery. No evidence of carotid artery injury. Referred to intervention radiology and vascular surgery team for the best method of removal the central line catheter. Removal of CVC for inadvertent injury to right verterbral artery under guided contrast study by intervention radiologist. The case illustrates the importance of ultrasound-guided CVL insertion. IIUM Press 2018-12-14 Article PeerReviewed application/pdf en http://irep.iium.edu.my/91674/1/91674_Inadvertent%20puncture%20of%20right%20vertebral.pdf Halim, Mohd Nabil and Md Ralib, Azrina and Nanyan, Suhaila and Abdul Ghani, Muhamad Rasydan and Ramly, Nur Fariza and Alias, Nurfatihah (2018) Inadvertent puncture of right vertebral artery during central venous line catheter insertion. IIUM Medical Journal Malaysia, 17 (Supplementary Issue 1). p. 97. ISSN 1823-4631 E-ISSN 2735-2285 https://journals.iium.edu.my/kom/index.php/imjm/article/view/857/575 https://doi.org/10.31436/imjm.v17i1
institution Universiti Islam Antarabangsa Malaysia
building IIUM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider International Islamic University Malaysia
content_source IIUM Repository (IREP)
url_provider http://irep.iium.edu.my/
language English
topic R Medicine (General)
spellingShingle R Medicine (General)
Halim, Mohd Nabil
Md Ralib, Azrina
Nanyan, Suhaila
Abdul Ghani, Muhamad Rasydan
Ramly, Nur Fariza
Alias, Nurfatihah
Inadvertent puncture of right vertebral artery during central venous line catheter insertion
description The use of ultrasound has been proposed to reduce the number of complications and to increase the safety and quality of central venous catheter (CVC) placement. In this report, we recommend the structures approach for US-guided to insert venous access for clinical practice. To achieve the best skill for CVC placement, The knowledge from anatomic landmark techniques and knowledge from US-guided CVC placement need to be combined and integrated. 59 years old lady, planned for total abdominal hysterectomy for pelvic tumour excision. Anticipate massive bleeding with major fluids shift during intraoperative, invasive monitoring with CVC was inserted preoperative at right internal jugular vein. The procedure of insertion was done using US-guided with out-of-plane method. While connected to CVP monitoring noted to have arterial wave. Decided to keep the central venous line in-situ and referral to radiologist for imaging was arranged. CT angiogram's findings of a catheter were seen to transverse the right internal jugular vein through-and-through and seen to lie within the right vertebral artery coursing into the right subclavian artery. No evidence of carotid artery injury. Referred to intervention radiology and vascular surgery team for the best method of removal the central line catheter. Removal of CVC for inadvertent injury to right verterbral artery under guided contrast study by intervention radiologist. The case illustrates the importance of ultrasound-guided CVL insertion.
format Article
author Halim, Mohd Nabil
Md Ralib, Azrina
Nanyan, Suhaila
Abdul Ghani, Muhamad Rasydan
Ramly, Nur Fariza
Alias, Nurfatihah
author_facet Halim, Mohd Nabil
Md Ralib, Azrina
Nanyan, Suhaila
Abdul Ghani, Muhamad Rasydan
Ramly, Nur Fariza
Alias, Nurfatihah
author_sort Halim, Mohd Nabil
title Inadvertent puncture of right vertebral artery during central venous line catheter insertion
title_short Inadvertent puncture of right vertebral artery during central venous line catheter insertion
title_full Inadvertent puncture of right vertebral artery during central venous line catheter insertion
title_fullStr Inadvertent puncture of right vertebral artery during central venous line catheter insertion
title_full_unstemmed Inadvertent puncture of right vertebral artery during central venous line catheter insertion
title_sort inadvertent puncture of right vertebral artery during central venous line catheter insertion
publisher IIUM Press
publishDate 2018
url http://irep.iium.edu.my/91674/1/91674_Inadvertent%20puncture%20of%20right%20vertebral.pdf
http://irep.iium.edu.my/91674/
https://journals.iium.edu.my/kom/index.php/imjm/article/view/857/575
https://doi.org/10.31436/imjm.v17i1
_version_ 1715189377505689600
score 13.211869

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