A Central Venous Catheter Line Misadventure

Abstract

We report a 32-year-old female patient who was referred to a tertiary care hospital in Muscat, Oman, in 2021 with an iatrogenic arteriovenous fistula (AVF) that presented as a neck swelling which developed few weeks after an attempt of central venous catheterization through the right internal jugular vein (IJV). The fistula was corrected surgically at our institute with a successful outcome. AVF is an abnormal communication between an artery and vein which can occur as a congenital anomaly, after trauma or iatrogenic following central venous catheter (CVC) or endovenous thermal ablation.
 Keywords: Arteriovenous fistula, Iatrogenic, central venous catheter, critically ill, ICU

Pitfalls in internal jugular vein cannulation

“…Moreover, arteriovenous (AV) fistula formation has been reported with IJV cannulation, especially after removing accidental arterial catheters; these have manifested as profound hemiparesis symptoms and an innocuous humming in the ear[ 7 , 8 ]. Although AV fistula is more common on the right side, the left-sided AV fistula has been reported after left IJV cannulation attempt[ 9 ].…”