Acute Ischaemic Stroke by a Different Mechanism

Central venous lines are often inserted but their removal requires some precautions. We describe a 51-year-old female patient who was due for discharge but had an unfortunate event arising from removal of her central venous line even though the appropriate measures had been taken. She experienced an...

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Main Authors: Mohammad Abu-Abaa, Ghassan Dawood, Hassan Arshad, Aliaa Mousa, Omar Jumaah
Format: Article
Language:English
Published: SMC MEDIA SRL 2022-10-01
Series:European Journal of Case Reports in Internal Medicine
Subjects:
Online Access:https://www.ejcrim.com/index.php/EJCRIM/article/view/3618
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author Mohammad Abu-Abaa
Ghassan Dawood
Hassan Arshad
Aliaa Mousa
Omar Jumaah
author_facet Mohammad Abu-Abaa
Ghassan Dawood
Hassan Arshad
Aliaa Mousa
Omar Jumaah
author_sort Mohammad Abu-Abaa
collection DOAJ
description Central venous lines are often inserted but their removal requires some precautions. We describe a 51-year-old female patient who was due for discharge but had an unfortunate event arising from removal of her central venous line even though the appropriate measures had been taken. She experienced an acute ischaemic stroke secondary to air embolism. The deficits persisted even though extensive efforts were made to reverse them. This case reminds clinicians that bedside procedures can result in devastating complications even if all precautions have been followed. We review the mechanisms of air embolism, provide suggestions to limit its incidence following central line removal, and recommend therapeutic measures.
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spelling doaj.art-d674e20ff2184baeb6688e8de2b3f6742022-12-22T04:37:59ZengSMC MEDIA SRLEuropean Journal of Case Reports in Internal Medicine2284-25942022-10-0110.12890/2022_0036183153Acute Ischaemic Stroke by a Different MechanismMohammad Abu-Abaa0Ghassan Dawood1Hassan Arshad2Aliaa Mousa3Omar Jumaah4Internal Medicine, Capital Health Regional Medical Center, Trenton, NJ, USAInternal Medicine, Capital Health Regional Medical Center, Trenton, NJ, USAInternal Medicine, Capital Health Regional Medical Center, Trenton, NJ, USAInternal Medicine, Capital Health Regional Medical Center, Trenton, NJ, USAInternal Medicine, Capital Health Regional Medical Center, Trenton, NJ, USACentral venous lines are often inserted but their removal requires some precautions. We describe a 51-year-old female patient who was due for discharge but had an unfortunate event arising from removal of her central venous line even though the appropriate measures had been taken. She experienced an acute ischaemic stroke secondary to air embolism. The deficits persisted even though extensive efforts were made to reverse them. This case reminds clinicians that bedside procedures can result in devastating complications even if all precautions have been followed. We review the mechanisms of air embolism, provide suggestions to limit its incidence following central line removal, and recommend therapeutic measures.https://www.ejcrim.com/index.php/EJCRIM/article/view/3618air embolismstrokecentral venous line
spellingShingle Mohammad Abu-Abaa
Ghassan Dawood
Hassan Arshad
Aliaa Mousa
Omar Jumaah
Acute Ischaemic Stroke by a Different Mechanism
European Journal of Case Reports in Internal Medicine
air embolism
stroke
central venous line
title Acute Ischaemic Stroke by a Different Mechanism
title_full Acute Ischaemic Stroke by a Different Mechanism
title_fullStr Acute Ischaemic Stroke by a Different Mechanism
title_full_unstemmed Acute Ischaemic Stroke by a Different Mechanism
title_short Acute Ischaemic Stroke by a Different Mechanism
title_sort acute ischaemic stroke by a different mechanism
topic air embolism
stroke
central venous line
url https://www.ejcrim.com/index.php/EJCRIM/article/view/3618
work_keys_str_mv AT mohammadabuabaa acuteischaemicstrokebyadifferentmechanism
AT ghassandawood acuteischaemicstrokebyadifferentmechanism
AT hassanarshad acuteischaemicstrokebyadifferentmechanism
AT aliaamousa acuteischaemicstrokebyadifferentmechanism
AT omarjumaah acuteischaemicstrokebyadifferentmechanism