Management of Inadvertent Arterial Catheterization during Central Venous Catheter Placement: A Case Series

Papastratigakis, Georgios; Marouli, Diamantina; Proklou, Athanasia; Nasis, Nikolaos; Kondili, Eumorfia; Kehagias, Elias

doi:10.3390/jpm12091537

Open AccessArticle

Management of Inadvertent Arterial Catheterization during Central Venous Catheter Placement: A Case Series

by

Georgios Papastratigakis

¹

,

Diamantina Marouli

²,

Athanasia Proklou

²,

Nikolaos Nasis

³

,

Eumorfia Kondili

^2,*

and

Elias Kehagias

³

¹

Department of Anesthesiology, University Hospital of Heraklion, Voutes, 71110 Heraklion, Greece

²

Department of Intensive Care, University Hospital of Heraklion and Medical School, University of Crete, Voutes, 71110 Heraklion, Greece

³

Interventional Radiology Unit, Department of Medical Imaging, University Hospital of Heraklion and Medical School, University of Crete, Voutes, 71110 Heraklion, Greece

^*

Author to whom correspondence should be addressed.

J. Pers. Med. 2022, 12(9), 1537; https://doi.org/10.3390/jpm12091537

Submission received: 10 August 2022 / Revised: 15 September 2022 / Accepted: 17 September 2022 / Published: 19 September 2022

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Abstract

Percutaneous central venous catheterization, although a widely used technique in ICU patients worldwide, is not devoid of complications even under real-time ultrasound guidance. Arterial puncture is a well-recognized complication, while unintended subclavian or carotid artery cannulations during attempted central venous catheterization are infrequent, but documented complications with potentially deleterious consequences. Recently, endovascular balloon tamponade has emerged as the preferred initial approach to repair inadvertent arterial cannulations. Herein, we present a case series of inadvertent arterial catheterization during an attempted ultrasound-guided access of the right internal jugular and the left subclavian vein that were successfully managed with endovascular balloon tamponade.

Keywords: inadvertent arterial catheterization; central venous catheter; ultrasound guidance

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MDPI and ACS Style

Papastratigakis, G.; Marouli, D.; Proklou, A.; Nasis, N.; Kondili, E.; Kehagias, E. Management of Inadvertent Arterial Catheterization during Central Venous Catheter Placement: A Case Series. J. Pers. Med. 2022, 12, 1537. https://doi.org/10.3390/jpm12091537

AMA Style

Papastratigakis G, Marouli D, Proklou A, Nasis N, Kondili E, Kehagias E. Management of Inadvertent Arterial Catheterization during Central Venous Catheter Placement: A Case Series. Journal of Personalized Medicine. 2022; 12(9):1537. https://doi.org/10.3390/jpm12091537

Chicago/Turabian Style

Papastratigakis, Georgios, Diamantina Marouli, Athanasia Proklou, Nikolaos Nasis, Eumorfia Kondili, and Elias Kehagias. 2022. "Management of Inadvertent Arterial Catheterization during Central Venous Catheter Placement: A Case Series" Journal of Personalized Medicine 12, no. 9: 1537. https://doi.org/10.3390/jpm12091537

APA Style

Papastratigakis, G., Marouli, D., Proklou, A., Nasis, N., Kondili, E., & Kehagias, E. (2022). Management of Inadvertent Arterial Catheterization during Central Venous Catheter Placement: A Case Series. Journal of Personalized Medicine, 12(9), 1537. https://doi.org/10.3390/jpm12091537

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Management of Inadvertent Arterial Catheterization during Central Venous Catheter Placement: A Case Series

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