[Arteriovenous fistula complicating central venous catheterization].
Iatrogenic fistulae are sporadic but potentially serious complications of catheterization of central veins. The authors present the case-history of a 57-year-old patient with chronic renal failure where after 19 months following temporary insertion of a central venous catheter into the subclavian vein on the right from and infraclavicular approach a continual murmur was recorded in the right subclavicular area, along with increasing manifestations of left-sided cardiac insufficiency. Using digital subtraction angiography, the authors diagnosed an arteriovenous fistula between the internal thoracic artery and the right brachiocephalic vein. The described case draws attention to a rare complication of catheterization of the central veins and its possible haemodynamic sequelae.
Kautzner
J
J
II. interní katedra I. lékarské fakulty Univerzity Karlovy, Praha.
Krivánek
J
J
Horák
J
J
Nĕmecek
K
K
D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000209:etiology*; D016121:Brachiocephalic Veins / Q000000981:diagnostic imaging / Q000293:injuries*; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D013895:Thoracic Arteries / Q000000981:diagnostic imaging / Q000293:injuries*
Arteriovenózní pístĕl komplikující katetrizaci centrálních zil.