Page 58 - Virtual Vascular Vol 3
P. 58
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A 65 yr old male with acute renal failure. A large bore catheter was inserted via The position of the catheter is obviously too far to the left of the midline to be
the R transjugular route for haemodialysis. inside the SVC. Therefore inadvertent puncture of the common carotid artery
should be suspected. This is a serious injury due to large caliber catheter
CXR showed tip of catheter to left and not in superior vena cava as to be insertion, and proximity to the chest. A CT scan confirmed the iatrogenic injury.
expected. This was not realilzed until hemodialysis when arterial blood gushed
from the line.
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