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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
PubMed
Summary
This summary is machine-generated.

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.

Keywords:
Blind puncturePermacathUltrasound

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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.