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Endovascular Repair of an Inadvertent Right Vertebral Artery Rupture during Dialysis Catheter Insertion.
Ann Vasc Surg 2018; 51:324.e11-324.e16AV

Abstract

Central venous (CV) catheterization is not only an invaluable diagnostic modality but also an essential therapeutic tool for the treating physician, enabling rapid and reliable intravenous administration of drugs and fluids, providing venous access to patients undergoing long-term continuous or repeated intravenous treatment such as chemotherapy, or it can be used for hemodialysis in patients suffering from acute or chronic renal disease. On the other hand, CV catheterization can lead to a wide range of life-threatening complications for the patient especially if left untreated or become late-diagnosed. In particular, arterial injuries are among the most feared complications that require early clinical suspicion for prompt diagnosis and management. We report the case of a 79-year-old female dialysis patient who suffered from a vertebral artery (VA) injury complicated by a herald bleeding on the third postintervention day after an internal jugular vein dialysis catheter replacement. The patient initially presented neurological signs of a stroke and urgently treated endovascularly after immediate diagnosis of VA rupture was made. Imaging techniques are evidence-based tools that help minimize these mechanical complications, including inadvertent arterial puncture and therefore should be practiced and taught in training programs to avoid the potentially devastating consequences of CV catheterization.

Authors+Show Affiliations

Department of Vascular Surgery, "Democritus" University of Thrace, University General Hospital of Alexandroupolis, Alexandroupolis, Greece.Department of Vascular Surgery, "Democritus" University of Thrace, University General Hospital of Alexandroupolis, Alexandroupolis, Greece.Department of Radiology/Interventional Radiology Unit, "Democritus" University of Thrace, University General Hospital of Alexandroupolis, Alexandroupolis, Greece.Department of Nephrology, "Democritus" University of Thrace, University General Hospital of Alexandroupolis, Alexandroupolis, Greece.Department of Nephrology, "Democritus" University of Thrace, University General Hospital of Alexandroupolis, Alexandroupolis, Greece.Department of Vascular Surgery, "Democritus" University of Thrace, University General Hospital of Alexandroupolis, Alexandroupolis, Greece. Electronic address: ggeorgia@med.duth.gr.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

29758322

Citation

Tasopoulou, Kalliopi-Maria, et al. "Endovascular Repair of an Inadvertent Right Vertebral Artery Rupture During Dialysis Catheter Insertion." Annals of Vascular Surgery, vol. 51, 2018, pp. 324.e11-324.e16.
Tasopoulou KM, Argyriou C, Mantatzis M, et al. Endovascular Repair of an Inadvertent Right Vertebral Artery Rupture during Dialysis Catheter Insertion. Ann Vasc Surg. 2018;51:324.e11-324.e16.
Tasopoulou, K. M., Argyriou, C., Mantatzis, M., Kantartzi, K., Passadakis, P., & Georgiadis, G. S. (2018). Endovascular Repair of an Inadvertent Right Vertebral Artery Rupture during Dialysis Catheter Insertion. Annals of Vascular Surgery, 51, pp. 324.e11-324.e16. doi:10.1016/j.avsg.2018.02.022.
Tasopoulou KM, et al. Endovascular Repair of an Inadvertent Right Vertebral Artery Rupture During Dialysis Catheter Insertion. Ann Vasc Surg. 2018;51:324.e11-324.e16. PubMed PMID: 29758322.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Endovascular Repair of an Inadvertent Right Vertebral Artery Rupture during Dialysis Catheter Insertion. AU - Tasopoulou,Kalliopi-Maria, AU - Argyriou,Christos, AU - Mantatzis,Michael, AU - Kantartzi,Konstantia, AU - Passadakis,Ploumis, AU - Georgiadis,George S, Y1 - 2018/06/07/ PY - 2017/11/24/received PY - 2018/01/23/revised PY - 2018/02/05/accepted PY - 2018/5/15/pubmed PY - 2018/11/6/medline PY - 2018/5/15/entrez SP - 324.e11 EP - 324.e16 JF - Annals of vascular surgery JO - Ann Vasc Surg VL - 51 N2 - Central venous (CV) catheterization is not only an invaluable diagnostic modality but also an essential therapeutic tool for the treating physician, enabling rapid and reliable intravenous administration of drugs and fluids, providing venous access to patients undergoing long-term continuous or repeated intravenous treatment such as chemotherapy, or it can be used for hemodialysis in patients suffering from acute or chronic renal disease. On the other hand, CV catheterization can lead to a wide range of life-threatening complications for the patient especially if left untreated or become late-diagnosed. In particular, arterial injuries are among the most feared complications that require early clinical suspicion for prompt diagnosis and management. We report the case of a 79-year-old female dialysis patient who suffered from a vertebral artery (VA) injury complicated by a herald bleeding on the third postintervention day after an internal jugular vein dialysis catheter replacement. The patient initially presented neurological signs of a stroke and urgently treated endovascularly after immediate diagnosis of VA rupture was made. Imaging techniques are evidence-based tools that help minimize these mechanical complications, including inadvertent arterial puncture and therefore should be practiced and taught in training programs to avoid the potentially devastating consequences of CV catheterization. SN - 1615-5947 UR - https://www.unboundmedicine.com/medline/citation/29758322/Endovascular_Repair_of_an_Inadvertent_Right_Vertebral_Artery_Rupture_during_Dialysis_Catheter_Insertion_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0890-5096(18)30293-0 DB - PRIME DP - Unbound Medicine ER -