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Published in: BMC Anesthesiology 1/2015

Open Access 01-12-2015 | Case report

Inferior thyroid artery pseudoaneurysm associated with internal jugular vein puncture: a case report

Authors: Jinguang Ruan, Cao Zhang, Zhiyou Peng, David Yue Tang, Zhiying Feng

Published in: BMC Anesthesiology | Issue 1/2015

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Abstract

Background

Central venous catheter placement is an important aspect of patient care for the administration of fluids and medications and for monitoring purposes. However, it is still associated with significant morbidity and mortality.

Case presentation

We report a case of iatrogenic inferior thyroid artery pseudoaneurysm during the central line placement due to internal jugular vein puncture. This is a rare complication of central venous cannulation. Fortunately the pseudoaneurysm was monitored closely, diagnosed promptly and obliterated by using radiological intervention. We discuss the risk factors and management of the unintended artery puncture.

Conclusion

The pathway of the management post arterial puncture depends on the size of the needle or catheter, which is direct related to the consequence of arterial injuries. Identifying risk factors is very important to avoid the complications. However, the use of ultrasound guided venipuncture is the most important method to avoid mechanical complications.
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Metadata
Title
Inferior thyroid artery pseudoaneurysm associated with internal jugular vein puncture: a case report
Authors
Jinguang Ruan
Cao Zhang
Zhiyou Peng
David Yue Tang
Zhiying Feng
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Anesthesiology / Issue 1/2015
Electronic ISSN: 1471-2253
DOI
https://doi.org/10.1186/s12871-015-0052-6

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