Iatrogenic pseudoaneurysm of the brachiocephalic artery: a rare complication of Hickman line insertion.
Central venous catheterization is widely used for hemodialysis for patients with renal failure. A number of short and long-term complications have been reported in literature. We describe a rare case of a lethal iatrogenic injury of the brachiocephalic artery (BA) in a 65-year-old woman following subclavian venous catheterization with a Hickman catheter. Contrast-enhanced CT-scan and reconstruction images demonstrated a pseudoaneurysm of the BA. Due to clinical deterioration, the patient underwent urgent sternotomy. Aspects concerning prevention and diagnosis of the above complication are analyzed.
Petrocheilou
Glykeria
G
Department of Radiology, KAT Hospital, Athens, Greece.
Kokkinis
Constantinos
C
Stathopoulou
Sotiria
S
Fragopoulou
Loukia
L
Mihos
Petros
P
Papadaki
Paraskevi J
PJ
Vlychou
Marianna
M
D000368:Aged; D017541:Aneurysm, False / Q000175:diagnosis / Q000209:etiology*; D016122:Brachiocephalic Trunk / Q000601:surgery*; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D003287:Contrast Media; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D014057:Tomography, X-Ray Computed
D003287:Contrast Media