[The Mysterious Paresis].
Internal jugular central venous line placement is a standardized and common clinical procedure. However, even the most skillful physician may face complications. Careful patient evaluation and detailed vascular anatomical knowledge can minimize the risk of iatrogenic injuries. Following a strict protocol in case of unsuccessful attempts of venous puncture helps to improve patient outcome. In this case report, we present a patient who suffered an unusual injury. Further, we discuss current treatment options for pseudoaneurysms.
1 Department of SICU and Anesthesia, University Hospital of Tongji, Yangpu Hospital, Shanghai, China.
Ewelina
E
Biskup
2 International Department, Dong Fang Hospital, affiliated to Tongji Medical University, Shanghai, China.
Magdalena
M
Necek
1 Department of SICU and Anesthesia, University Hospital of Tongji, Yangpu Hospital, Shanghai, China.
Qu
Q
Changjin
3 Department of Vascular Surgery, Renji Hospital, Jiao Tong University Shanghai.
Guanhua
G
Xue
D000369:Aged, 80 and over; D017541:Aneurysm, False / Q000150:complications* / Q000209:etiology*; D020516:Brachial Plexus Neuropathies / Q000175:diagnosis* / Q000209:etiology*; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D005260:Female; D006406:Hematoma / Q000150:complications / Q000175:diagnosis / Q000209:etiology; D006801:Humans; D007049:Iatrogenic Disease; D009408:Nerve Compression Syndromes / Q000209:etiology*; D010291:Paresis / Q000209:etiology*; D013348:Subclavian Artery / Q000293:injuries*; D018615:Ultrasonography, Doppler, Color
A.subclavia; Aneurysma; Hämatom; Parese; Plexus brachialis; Pseudoaneurysma; Punktion; V. jugularis; ZVK; aneurysm; brachial plexus; central venous catheter; hematoma; jugular vein; paresis; pseudoaneurysm; puncture; subclavian artery