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...

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Main Authors: RPS. Gambhir, M Garg, O Hargrove, Baldwin Melissa, N Kandasamy
Format: Article
Language:English
Published: Elsevier 2022-03-01
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.
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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
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AT baldwinmelissa endovascularoropensurgicalmanagementforinadvertentcannulationofvertebralarteryduringcentralvenouscannulation
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