Fatal brainstem stroke following internal jugular vein catheterization.
Neurologic complications of central venous catheterization are uncommon, and there are no reports of cerebrovascular events. We report a case of massive postoperative vertebrobasilar territory stroke following internal jugular vein cannulation due to inadvertent vertebral artery injury. Autopsy revealed thrombosis at the site of puncture wound in the right vertebral artery, with emboli present in the distal basilar artery.
Sloan
M A
MA
Department of Neurology, Tufts-New England Medical Center, Boston, MA.
Mueller
J D
JD
Adelman
L S
LS
Caplan
L R
LR
D000328:Adult; D001933:Brain Stem; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D002561:Cerebrovascular Disorders / Q000000981:diagnostic imaging / Q000209:etiology* / Q000401:mortality; D006801:Humans; D007601:Jugular Veins; D008297:Male; D014057:Tomography, X-Ray Computed; D014711:Vertebral Artery / Q000293:injuries* / Q000473:pathology; D014950:Wounds, Penetrating / Q000150:complications*