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Management of inadvertent arterial catheterisation associated with central venous access procedures

A Pikwer1, S Acosta, T Kölbel

  • 1Department of Anesthesiology and Intensive Care Medicine, Lund University, Malmö University Hospital, Malmö, Sweden. andreas.pikwer@med.lu.se

European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
|October 6, 2009
PubMed

Insights

Inadvertent arterial catheterisation during central venous access can be managed effectively with endovascular or surgical techniques. Early recognition and prompt referral are key to successful outcomes, with no observed complications in this study.

Area of Science:

  • Vascular Surgery
  • Interventional Radiology
  • Patient Safety

Background:

  • Central venous catheterisation is a common procedure.
  • Inadvertent arterial catheterisation is a known complication.
  • Effective management strategies are crucial.

Purpose of the Study:

  • To describe clinical management of inadvertent arterial catheterisation.
  • To evaluate endovascular and surgical techniques.
  • To identify risk factors and outcomes.

Main Methods:

  • Retrospective analysis of prospectively collected data.
  • Inclusion of patients referred for management of inadvertent arterial catheterisation.
  • Review of patient records and radiographic reports.

Main Results:

  • Eleven cases of inadvertent arterial catheterisation (carotid, subclavian, femoral) in 10 patients.
  • Risk factors included obesity, short neck, and emergency procedures.
  • Successful management using stent-grafts, suture devices, and open repair with no complications.

Conclusions:

  • Inadvertent arterial catheterisation is linked to obesity, emergency procedures, and lack of ultrasound guidance.
  • Suspect arterial catheterisation with retrograde flow or hematoma.
  • Leave catheter in place and refer for percutaneous/endovascular or surgical management.
Abstract

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