title: Carotid dissection: a complication of internal jugular vein cannulation with the use of ultrasound.
abstract: Central venous catheters (CVCs) are often used in intensive care units and operating rooms. They facilitate hemodynamic monitoring, administration of fluids and medications, transvenous pacing and renal fluid replacement therapy. Severe complications can arise from inserting CVCs, some of which may be life threatening. A safe insertion technique with confirmation of correct placement of these catheters is of utmost importance. We present an obese 66-yr-old man who had carotid artery dissection with compromised cerebral circulation after CVC insertion under ultrasound guidance. The dissection was immediately repaired with no neurological sequelae to the patient.
authors.affiliation: Department of Anesthesiology, University of Michigan Hospital, 1H247 UH, 1500 E. Medical Center Dr., Ann Arbor, MI 48109, USA. andreapa@med.umich.edu
authors.forename: Andrea J
authors.initials: AJ
authors.lastname: Parsons
authors.forename: John
authors.initials: J
authors.lastname: Alfa
mesh_terms: D000368:Aged; D020212:Carotid Artery Injuries / Q000000981:diagnostic imaging* / Q000209:etiology; D002404:Catheterization / Q000009:adverse effects / Q000379:methods; D002405:Catheterization, Central Venous / Q000009:adverse effects* / Q000379:methods; D006801:Humans; D007431:Intraoperative Complications / Q000000981:diagnostic imaging* / Q000209:etiology; D007601:Jugular Veins / Q000000981:diagnostic imaging*; D008297:Male; D016343:Monitoring, Intraoperative / Q000379:methods; D014463:Ultrasonography