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Permacath: wrong pathway leading to a correct destination
Riddhi Dhanak1, Utkarsh Sanghavi1, Jignesh Kothari1
1Department of Cardiovascular & Thoracic Surgery, U. N. Mehta Institute of Cardiology and Research Center, Civil Hospital Campus, Asarwa, Ahmedabad, Gujarat 380016 India.
Indian Journal of Thoracic and Cardiovascular Surgery
|August 19, 2024
Summary
Ultrasound-guided Permacath insertion reduces complications. This case highlights a rare complication: Permacath entering the femoral vein after femoral artery puncture, emphasizing prompt diagnosis and intervention.
Area of Science:
- Vascular Surgery
- Medical Imaging
- Interventional Radiology
Background:
- Ultrasound guidance significantly decreases complications during Permacath insertion compared to blind puncture.
- Accurate placement is crucial for device function and patient safety.
Purpose of the Study:
- To report a rare case of Permacath malpositioning.
- To emphasize the importance of real-time ultrasound in preventing and diagnosing complications.
Main Methods:
- Case report detailing Permacath insertion using ultrasound guidance.
- Description of a specific complication involving through-and-through femoral artery puncture.
- Diagnostic process including clinical suspicion and imaging.
Main Results:
- The Permacath inadvertently entered the right femoral vein following a through-and-through puncture of the right femoral artery.
- Early recognition and surgical intervention were critical in managing this complication.
Conclusions:
- While ultrasound reduces complications, rare events like Permacath malpositioning can occur.
- Real-time ultrasound, prompt diagnosis, and emergency surgery are vital for managing severe complications during Permacath insertion.
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