Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Case report
Year : 2018 | Month : July | Volume : 12 | Issue : 7 | Page : OD03 - OD05

A Treatment Dilemma: Inadvertently Placed Temporary Dialysis Catheter in the Subclavian Artery of a Critically Ill Patient

Mustafa Salam Mawih, Isai Gopalakrish Bowline

1. Fellow, Department of Nephrology, Wake Forest Baptist Medical Center, Wake Forest University, Winston-Salem, NC, USA. 2. Assistant Professor, Department of Nephrology, Wake Forest Baptist Medical Center, Wake Forest University, Winston-Salem, NC, USA.

Correspondence Address :
Dr. Mustafa Salam Mawih,
Medical Centre Blvd, Winston-Salem, NC 27157, USA.
E-mail: Mustafa_mawih@yahoo.com

Abstract

Each year, more than 5 million Central Venous Catheters (CVCs) are placed in the United States and mechanical complications occur in 19% of them. Despite the advances in the procedure technique and the use of bedside ultrasound, mechanical complications can still occur. Arterial puncture and catheterisation is one of the well-recognised mechanical complications. We report a case of arterial catheterisation of a temporary non-tunneled dialysis catheter in a critically ill patient. The treatment of this complication can be challenging, and, in present case, all treatment options were infeasible. Removal of the CVC from the artery carries a risk of haemorrhage, stroke and pseudoaneurysm, which necessitates a careful consideration of the risks and benefits of each treatment option. Treatment options include manual compression after catheter removal, endovascular and open surgical repair. The present case highlights some of the risk factors associated with arterial catheterisation of CVCs and the limitations of the treatment options.

Keywords

Central venous catheter, Endovascular procedure, Vascular closure device

How to cite this article :

Mustafa Salam Mawih, Isai Gopalakrish Bowline. A TREATMENT DILEMMA: INADVERTENTLY PLACED TEMPORARY DIALYSIS CATHETER IN THE SUBCLAVIAN ARTERY OF A CRITICALLY ILL PATIENT. Journal of Clinical and Diagnostic Research [serial online] 2018 July [cited: 2018 Jul 21 ]; 12:OD03-OD05. Available from
http://jcdr.net/back_issues.asp?issn=0973-709x&year=2018&month=July&volume=12&issue=7&page=OD03-OD05&id=11767

DOI and Others

DOI: 10.7860/JCDR/2018/36856.11767

Date of Submission: Apr 19, 2018
Date of Peer Review: May 21, 2018
Date of Acceptance: Jun 04, 2018
Date of Publishing: Jul 01, 2018

FINANCIAL OR OTHER COMPETING INTERESTS: None.

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