Literature Review Central Venous Catheter in Carotid Artery

Main Article Content

Dr. B.T. Wierstra, MD, FRCP(C), CCFP

Dr. Selena Au, MD, FRCP(C)

University of Calgary

Dr. Paul One thousand. Cantle, Physician, MBT, FRCSC

University of Calgary

Dr. Kenton Fifty. Rommens, MD, FRCSC

University of Texas

Abstract

Arterial misplacement of central venous catheters can often be avoided with the use of existent-time ultrasound-guided procedural competency.  However, misplacement tin yet occur and is more probable to occur when the internal jugular vein is located straight above the common carotid injury.  The resultant injury to the common carotid avenue occurs through the posterior wall of the internal jugular vein.  Arterial injury may also occur when the subclavian vein is attempted in a non-ultrasound-guided style.  Optimal management requires a coordinated evaluation of the catheter misplacement past Interventional Radiology and Vascular Surgery to ensure maximum patient rubber during catheter removal.  This article reviews the literature around this topic and provides a summary of the best approach to safely remove the misplaced catheter.

Resume

Le mauvais positionnement artériel des cathéters veineux centraux peut souvent être évité grâce à l'utilisation de compétences procédurales guidées par ultrasons en temps réel.  Cependant, un mauvais positionnement peut toujours se produire et est plus susceptible de se produire lorsque la veine jugulaire interne est située directement au-dessus de la lésion carotidienne commune.  La lésion de l'artère carotide commune qui en résulte se produit à travers la paroi postérieure de la veine jugulaire interne.  Une lésion artérielle peut également se produire lorsque la veine sous-clavière n'est pas guidée par united nations ultrason.  Une gestion optimale nécessite une évaluation coordonnée du mauvais positionnement du cathéter par la radiologie interventionnelle et la chirurgie vasculaire afin de garantir une sécurité maximale au patient lors du retrait du cathéter.  Cet article passe en revue la littérature sur ce sujet et fournit un résumé de la meilleure approche cascade retirer en toute sécurité le cathéter mal placé.

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How to Cite

Wierstra, B., Au, South., Cantle, P., & Rommens, Thousand. (2020). Arterial Placement of Central Venous Catheters: Beyond Prevention to Management. Canadian Journal of Full general Internal Medicine, 15(3), 45–48. https://doi.org/10.22374/cjgim.v15i3.398

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Source: https://cjgim.ca/index.php/csim/article/view/398