Endovascular or open surgical management for inadvertent cannulation of vertebral artery during central venous cannulation?
Inadvertent cannulation of vertebral artery while attempting to insert a central venous cannula in the internal jugular vein is a very rare complication and can occur inspite of use of ultrasound guidance. This case report discusses the management of vertebral artery cannulation in a 56 year old lad...
Main Authors: | , , , , |
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Format: | Article |
Language: | English |
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Elsevier
2022-03-01
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Series: | Annals of Vascular Surgery - Brief Reports and Innovations |
Online Access: | http://www.sciencedirect.com/science/article/pii/S2772687822000095 |
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author | RPS. Gambhir M Garg O Hargrove Baldwin Melissa N Kandasamy |
author_facet | RPS. Gambhir M Garg O Hargrove Baldwin Melissa N Kandasamy |
author_sort | RPS. Gambhir |
collection | DOAJ |
description | Inadvertent cannulation of vertebral artery while attempting to insert a central venous cannula in the internal jugular vein is a very rare complication and can occur inspite of use of ultrasound guidance. This case report discusses the management of vertebral artery cannulation in a 56 year old lady electively admitted for hepatectomy. Once recognised, rather than catheter removal and external compression which can be fatal, an immediate multidisciplinary discussion must make the choice between endovascular intervention or open repair, each intervention carries its risks. In our case it was managed successfully by open surgical approach. |
first_indexed | 2024-03-13T01:34:37Z |
format | Article |
id | doaj.art-2b707e9fc9c44db68a7665435878c061 |
institution | Directory Open Access Journal |
issn | 2772-6878 |
language | English |
last_indexed | 2024-03-13T01:34:37Z |
publishDate | 2022-03-01 |
publisher | Elsevier |
record_format | Article |
series | Annals of Vascular Surgery - Brief Reports and Innovations |
spelling | doaj.art-2b707e9fc9c44db68a7665435878c0612023-07-04T05:11:39ZengElsevierAnnals of Vascular Surgery - Brief Reports and Innovations2772-68782022-03-0121100045Endovascular or open surgical management for inadvertent cannulation of vertebral artery during central venous cannulation?RPS. Gambhir0M Garg1O Hargrove2Baldwin Melissa3N Kandasamy4Corresponding author.; King's College Hospital NHS Foundation Trust, London, UKKing's College Hospital NHS Foundation Trust, London, UKKing's College Hospital NHS Foundation Trust, London, UKKing's College Hospital NHS Foundation Trust, London, UKKing's College Hospital NHS Foundation Trust, London, UKInadvertent cannulation of vertebral artery while attempting to insert a central venous cannula in the internal jugular vein is a very rare complication and can occur inspite of use of ultrasound guidance. This case report discusses the management of vertebral artery cannulation in a 56 year old lady electively admitted for hepatectomy. Once recognised, rather than catheter removal and external compression which can be fatal, an immediate multidisciplinary discussion must make the choice between endovascular intervention or open repair, each intervention carries its risks. In our case it was managed successfully by open surgical approach.http://www.sciencedirect.com/science/article/pii/S2772687822000095 |
spellingShingle | RPS. Gambhir M Garg O Hargrove Baldwin Melissa N Kandasamy Endovascular or open surgical management for inadvertent cannulation of vertebral artery during central venous cannulation? Annals of Vascular Surgery - Brief Reports and Innovations |
title | Endovascular or open surgical management for inadvertent cannulation of vertebral artery during central venous cannulation? |
title_full | Endovascular or open surgical management for inadvertent cannulation of vertebral artery during central venous cannulation? |
title_fullStr | Endovascular or open surgical management for inadvertent cannulation of vertebral artery during central venous cannulation? |
title_full_unstemmed | Endovascular or open surgical management for inadvertent cannulation of vertebral artery during central venous cannulation? |
title_short | Endovascular or open surgical management for inadvertent cannulation of vertebral artery during central venous cannulation? |
title_sort | endovascular or open surgical management for inadvertent cannulation of vertebral artery during central venous cannulation |
url | http://www.sciencedirect.com/science/article/pii/S2772687822000095 |
work_keys_str_mv | AT rpsgambhir endovascularoropensurgicalmanagementforinadvertentcannulationofvertebralarteryduringcentralvenouscannulation AT mgarg endovascularoropensurgicalmanagementforinadvertentcannulationofvertebralarteryduringcentralvenouscannulation AT ohargrove endovascularoropensurgicalmanagementforinadvertentcannulationofvertebralarteryduringcentralvenouscannulation AT baldwinmelissa endovascularoropensurgicalmanagementforinadvertentcannulationofvertebralarteryduringcentralvenouscannulation AT nkandasamy endovascularoropensurgicalmanagementforinadvertentcannulationofvertebralarteryduringcentralvenouscannulation |