Related Experiment Videos
Perforation of the intrapericardial aorta during subclavian catheterization
Southern Medical Journal
|December 1, 1984
Insights
Fatal subclavian venipuncture during emergency ectopic pregnancy treatment led to aortic perforation. Experienced personnel are crucial for this invasive procedure, even in critical situations, to prevent life-threatening complications.
Area of Science:
- Cardiovascular Surgery
- Emergency Medicine
- Vascular Access
Background:
- Subclavian venipuncture is a common procedure for central venous access.
- Ruptured ectopic pregnancy presents a critical emergency requiring rapid intervention.
- Infraclavicular approach for subclavian venipuncture carries potential risks.
Observation:
- A case of fatal intrapericardial aortic perforation occurred during attempted subclavian venipuncture.
- The procedure was performed in the context of a ruptured ectopic pregnancy emergency.
- The patient succumbed to the aortic perforation.
Findings:
- The infraclavicular route for subclavian venipuncture can lead to catastrophic aortic injury.
- Vascular perforation during central line placement is a serious complication.
- Prompt recognition and management of iatrogenic vascular injury are critical.
Implications:
- Highlights the critical need for advanced procedural skills in emergency vascular access.
- Emphasizes the importance of meticulous technique and anatomical awareness during subclavian venipuncture.
- Underscores the necessity of experienced personnel performing invasive procedures in high-stakes scenarios.
Abstract:
We have reported a case of fatal perforation of the intrapericardial aorta during attempted subclavian venipuncture through the infraclavicular route in a patient with a ruptured ectopic pregnancy. The case illustrates the importance of having the procedure done only by personnel experienced in the technique, even in emergency situations.