Incidence of inadvertent arterial puncture secondary to central venous catheter insertion is not common with an arterial puncture rate of<1%.This is due to the advancements and wide availability of ultrasound to gu...Incidence of inadvertent arterial puncture secondary to central venous catheter insertion is not common with an arterial puncture rate of<1%.This is due to the advancements and wide availability of ultrasound to guide its insertion.Formation of arteriovenous fistula after arterial puncture is an unexpected complication.Till date,only five cases(including this case)of acquired arteriovenous fistula formation has been described due to inadvertent common carotid puncture.The present case is a 26-year-old man sustained traumatic brain injuries,chest injuries and multiple bony fractures.During resuscitative phase,attempts at left central venous catheter via left internal jugular vein under ultrasound guidance resulted in inadvertent puncture into the left common carotid artery.Surgical neck exploration revealed that the catheter had punctured through the left internal jugular vein into the common carotid artery with formation of arteriovenous fistula.The catheter was removed successfully and common carotid artery was repaired.Postoperatively,the patient recovered and clinic visits revealed no neurological deficits.From our literature review,the safest method for removal is via endovascular and open surgical removal.The pull/push technique(direct removal with compression)is not recommended due to the high risk for stroke,bleeding and hematoma formation.展开更多
Common or external iliac artery injury due to blunt trauma is unusual without an associated pelvic fracture.Here we report on a 62 years old man that sustained left external iliac artery thrombosis due to blunt trauma...Common or external iliac artery injury due to blunt trauma is unusual without an associated pelvic fracture.Here we report on a 62 years old man that sustained left external iliac artery thrombosis due to blunt trauma following fall from motorbike.There was no immediate circulatory compromise.Contrasted CT of abdomen revealed an associated left lower abdominal wall traumatic hernia.The iliac artery was intervened with an endovascular stent to restore luminal flow and the hernia was repaired electively.The entire clinical course and management dilemma are described in this article.展开更多
文摘Incidence of inadvertent arterial puncture secondary to central venous catheter insertion is not common with an arterial puncture rate of<1%.This is due to the advancements and wide availability of ultrasound to guide its insertion.Formation of arteriovenous fistula after arterial puncture is an unexpected complication.Till date,only five cases(including this case)of acquired arteriovenous fistula formation has been described due to inadvertent common carotid puncture.The present case is a 26-year-old man sustained traumatic brain injuries,chest injuries and multiple bony fractures.During resuscitative phase,attempts at left central venous catheter via left internal jugular vein under ultrasound guidance resulted in inadvertent puncture into the left common carotid artery.Surgical neck exploration revealed that the catheter had punctured through the left internal jugular vein into the common carotid artery with formation of arteriovenous fistula.The catheter was removed successfully and common carotid artery was repaired.Postoperatively,the patient recovered and clinic visits revealed no neurological deficits.From our literature review,the safest method for removal is via endovascular and open surgical removal.The pull/push technique(direct removal with compression)is not recommended due to the high risk for stroke,bleeding and hematoma formation.
文摘Common or external iliac artery injury due to blunt trauma is unusual without an associated pelvic fracture.Here we report on a 62 years old man that sustained left external iliac artery thrombosis due to blunt trauma following fall from motorbike.There was no immediate circulatory compromise.Contrasted CT of abdomen revealed an associated left lower abdominal wall traumatic hernia.The iliac artery was intervened with an endovascular stent to restore luminal flow and the hernia was repaired electively.The entire clinical course and management dilemma are described in this article.
