Venous pseudo-aneurysm as a late complication of short-term central venous catheterisation

Luckraz, Heyman

doi:10.1186/1476-7120-1-6

Cited by 21 publications

(25 citation statements)

References 12 publications

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“…Although the relation of the IJV varies, the use of the apex of Sedillot's triangle combined with the use of ultrasound could lower the risk of puncturing the wrong vessel, whilst malpositioning of the catheter could greatly be reduced (Luckraz, 2003;Schummer et al, 2003). The exact location, size, and potency of the IJV can be determined with the use of ultrasonography, already routinely utilized by many medical institutions, as this can reduce possible complications (Conz et al, 1997).…”

Section: Discussionmentioning

confidence: 98%

“…Arterial pseudo-aneurisms have also been reported to occur during CVC into the IJV as a result of puncturing of the CCA or the thyrocervical trunk (Luckraz, 2003;Schummer et al, 2003). Venous pseudo-aneurisms are also a possible occurrence following multiple attempts at puncturing the same vein (Chudhari et al, 1998).…”

Section: Introductionmentioning

confidence: 96%

“…It should be noted that the complication rate could be as high as 14% in patients undergoing CVC (Luckraz, 2003). Understanding the anatomy of this region when attempting the procedure is therefore essential.…”

Section: Introductionmentioning

confidence: 98%

“…With the anterior approach (or internal approach), the IJV is penetrated at the apex of the triangle, which is formed by the clavicle and the sternal and clavicular heads of sternocleidomastoid (SCM). This triangle is also referred to as Sedillot's triangle (Luckraz, 2003).…”

Section: Introductionmentioning

confidence: 99%

“…Apart from the ability to serve as a means for total parenteral nutrition, administration of drugs and fluids, and allowing for invasive monitoring of cardiac parameters (Luckraz, 2003), the CVC is also a helpful technique for the administration of chemotherapy drugs over a prolonged period without the associated complications, such as thrombosis or sepsis. In these prolonged cases, a completely implantable system is the best solution for chemotherapy administration (Costantini et al, 1997).…”

Section: Introductionmentioning

confidence: 99%

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Anatomical considerations of the anterior approach for central venous catheter placement

et al. 2005

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Central venous catheterization (CVC) entails the catheterization of the superior vena cava via either the subclavian or the internal jugular vein (IJV). This study looked at the frequency in which a needle was inserted into the IJV using the anterior CVC approach, which entails inserting the needle into the apex of Sedillot's triangle, formed by the sternal and clavicular heads of sternocleidomastoid (SCM). The ipsilateral distances from the apex of Sedillot's triangle to the superior aspect of the sternoclavicular joint and the diameter of the IJV were also measured. A needle was inserted into the apex of Sedillot's triangle in 36 adult cadavers with mean age of 62 +/- 19 years (mean +/- SD), mean height of 1.6 +/- 0.18 m, and a mean weight of 55 +/- 16 kg. Subsequent dissections of this area revealed the relation of the needle to the IJV. Results indicate that on the right, the needle was inserted into the IJV in 97.14% of the cases. On the left, the needle entered the IJV in 78.79% of the cases. From the sternoclavicular joint, the apex of Sedillot's triangle was found to be 40.87 +/- 1.62 mm and 38.73 +/- 6.34 mm on the right and left, respectively. The IJV diameter was 17.29 +/- 1.07 mm on the right and 15.30 +/- 0.25 mm on the left. We conclude that the anterior CVC approach is an anatomically accurate technique. It is furthermore important to realize that when performing any invasive procedure, a sound anatomical knowledge of the region is extremely important, as complications are often due to lack of understanding or misunderstanding of the relevant anatomy.

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Section: Discussionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Anatomical considerations of the anterior approach for central venous catheter placement

et al. 2005

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Central venous catheterization—An anatomical review of a clinical skill, Part 2: Internal jugular vein via the supraclavicular approach

et al. 2007

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The safe and successful performance of a central venous catheterization (CVC) requires a specific knowledge of anatomy in addition to a working knowledge. Misunderstanding the anatomy may result in failure or complications. This review aims to aid understanding of the anatomical framework, pitfalls, and complications of CVC of the internal jugular veins. CVC is common practice amongst surgeons, anesthesiologists, and emergency room physicians during the preparations for major surgical procedures such as open-heart surgery, as well as for intensive care monitoring and rapid restoration of blood volume. Associated with this technique are certain anatomical pitfalls and complications that can be successfully avoided if one possesses a thorough knowledge of the contraindications, regional anatomy, and rationale of the technique.

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Iatrogenic venous pseudoaneurysm following venipuncture: Case report and review of the literature

Lotfi

Nabavizadeh

Abbasi

et al. 2007

J of Clinical Ultrasound

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Venous pseudo-aneurysm as a late complication of short-term central venous catheterisation

Cited by 21 publications

References 12 publications

Anatomical considerations of the anterior approach for central venous catheter placement

Anatomical considerations of the anterior approach for central venous catheter placement

Central venous catheterization—An anatomical review of a clinical skill, Part 2: Internal jugular vein via the supraclavicular approach

Iatrogenic venous pseudoaneurysm following venipuncture: Case report and review of the literature

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