Haemodialysis catheter-related right transverse cervical artery pseudoaneurysm and treatment by coil embolization.
In patients with end-stage renal disease, temporary placement of venous catheters for haemodialysis (HD) is often necessary, and the right internal jugular (RIJ) vein is the usual preferred site of HD catheter placement. We report here a patient who experienced complications because of the development of a pseudoaneurysm of the transverse cervical artery following an apparently uneventful RIJ vein cannulation for temporary HD, using the blind landmark-guided technique. This is a rare complication of RIJ vein cannulation and HD catheter placement. The pseudoaneurysm presented 3 weeks after the procedure and was diagnosed by using colour-Doppler ultrasound, followed by an angiogram, and it was successfully occluded using endovascular coil embolization.
Siu
Yui Pong
YP
Division of Nephrology, Department of Medicine, Tuen Mun Hospital, Tuen Mun, Hong Kong, China.
Tong
Matthew Kh
MKh
Poon
Wai Lun
WL
Tsui
Wai Chuen
WC
Kwan
Tze Hoi
TH
D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy*; D000792:Angiography; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D004621:Embolization, Therapeutic; D006801:Humans; D007601:Jugular Veins; D007676:Kidney Failure, Chronic / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D006435:Renal Dialysis / Q000009:adverse effects*; D018615:Ultrasonography, Doppler, Color