Carotid dissection: a complication of internal jugular vein cannulation with the use of ultrasound

Anesth Analg. 2009 Jul;109(1):135-6. doi: 10.1213/ane.0b013e3181a7f5a4.

Abstract

Central venous catheters (CVCs) are often used in intensive care units and operating rooms. They facilitate hemodynamic monitoring, administration of fluids and medications, transvenous pacing and renal fluid replacement therapy. Severe complications can arise from inserting CVCs, some of which may be life threatening. A safe insertion technique with confirmation of correct placement of these catheters is of utmost importance. We present an obese 66-yr-old man who had carotid artery dissection with compromised cerebral circulation after CVC insertion under ultrasound guidance. The dissection was immediately repaired with no neurological sequelae to the patient.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Carotid Artery Injuries / diagnostic imaging*
  • Carotid Artery Injuries / etiology
  • Catheterization / adverse effects
  • Catheterization / methods
  • Catheterization, Central Venous / adverse effects*
  • Catheterization, Central Venous / methods
  • Humans
  • Intraoperative Complications / diagnostic imaging*
  • Intraoperative Complications / etiology
  • Jugular Veins / diagnostic imaging*
  • Male
  • Monitoring, Intraoperative / methods
  • Ultrasonography