title: Iatrogenic pseudoaneurysm of the brachiocephalic artery: a rare complication of Hickman line insertion.
abstract: 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.
authors: Department of Radiology, KAT Hospital, Athens, Greece.
authors: Glykeria
authors: G
authors: Petrocheilou
authors: Constantinos
authors: C
authors: Kokkinis
authors: Sotiria
authors: S
authors: Stathopoulou
authors: Loukia
authors: L
authors: Fragopoulou
authors: Petros
authors: P
authors: Mihos
authors: Paraskevi J
authors: PJ
authors: Papadaki
authors: Marianna
authors: M
authors: Vlychou
mesh_terms: 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
chemical_list: D003287:Contrast Media