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Multiple complications after internal jugular vein catheterisation.

Z Gamulin, J C Brückner, A Forster

    Anaesthesia
    |April 1, 1986
    PubMed
    Summary
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    A single internal jugular vein catheterization led to severe complications in a young female, including pleural misplacement, hemorrhage, and cardiovascular collapse. An arteriovenous fistula developed 18 months later, highlighting delayed risks of central venous access procedures.

    Area of Science:

    • Vascular Surgery
    • Critical Care Medicine
    • Interventional Radiology

    Background:

    • Central venous catheterization, particularly internal jugular vein catheterization, is a common procedure in critical care.
    • Potential complications, though infrequent, can be severe and life-threatening.

    Observation:

    • A young female patient experienced multiple serious complications after a single internal jugular vein catheterization.
    • These complications manifested acutely and with significant delay.

    Findings:

    • The patient developed pleural misplacement of the internal jugular vein catheter.
    • Massive hemorrhage and cardiovascular collapse occurred post-catheter removal.
    • An arteriovenous fistula in the neck was diagnosed 18 months after the initial procedure.

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    Implications:

    • This case underscores the critical importance of vigilant monitoring for both immediate and delayed complications following internal jugular vein catheterization.
    • Highlights the need for thorough diagnostic evaluation, even long after the initial procedure, to identify iatrogenic injuries like arteriovenous fistulas.
    • Emphasizes the potential for severe, multi-systemic adverse events from a seemingly routine vascular access procedure.