Zusammenfassung
Die V. jugularis interna wird als Gefäßzugang bei Patienten mit akutem oder chronischem Nierenversagen zur Anlage eines temporären großlumigen Katheters genutzt. Die häufigste primäre Komplikation ist die arterielle Punktion mit möglicher arterieller Fehllage. Die Kasuistik schildert eine seltene sekundäre Komplikation durch die akzidentelle Katheterisierung der rechten A. carotis communis (ACC) während der Anlage eines doppellumigen Katheters. Der Patient entwickelte zwei Wochen nach der Punktion ein Aneurysma spurium der ACC mit Hypopharynxblutung. Die Diagnose wurde duplexsonographisch gestellt und das Aneurysma gefäßchirurgisch versorgt.
Abstract
Catheterization of the internal jugular vein is used for temporary access to the central vein in patients with acute or chronic renal failure. The most frequent problem is the arterial puncture and accidental placement of the large catheter in an artery. This case report describes a rare secondary complication by accidental catheterization of the right common carotid artery after intended dual lumen catheter insertion into the right internal jugular vein. A false aneurysm with pharyngeal hemorrhaging developed 2 weeks after the puncture. The diagnosis was made using colour-Doppler ultrasound and the aneurysm was treated with vascular surgery.
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Kreckel, V., Langwara, H. Pharynxblutung bei iatrogenem Aneurysma spurium. Anaesthesist 58, 259–261 (2009). https://doi.org/10.1007/s00101-008-1491-y
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DOI: https://doi.org/10.1007/s00101-008-1491-y