Iatrogenic pseudoaneurysm of the brachiocephalic artery: a rare complication of Hickman line insertion.

International Urology and Nephrology
Glykeria PetrocheilouMarianna Vlychou

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.

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Citations

Nov 21, 2009·Journal of Cardiothoracic and Vascular Anesthesia·Frederik H W JonkerBart E Muhs
Jan 30, 2013·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Umberto G RossiCarlo Ferro
Jan 5, 2011·Vascular and Endovascular Surgery·Alessandro de TroiaPier Franco Salcuni

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