Internal jugular vein dissection after central venous catheter cannulation

Marcos-Vidal, J.M.; González de Castro, R.; García Rodríguez, A.; García Rivera, D.

doi:10.1016/j.redare.2020.06.019

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C: arteria carótida; M: disección túnica media; T: trombo mural; Y: vena yugular interna. Las flechas señalan el catéter venoso central." ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "J.M. Marcos-Vidal, R. González de Castro, A. García Rodríguez, D. García Rivera" "autores" => array:4 [ 0 => array:2 [ "nombre" => "J.M." "apellidos" => "Marcos-Vidal" ] 1 => array:2 [ "nombre" => "R." "apellidos" => "González de Castro" ] 2 => array:2 [ "nombre" => "A." "apellidos" => "García Rodríguez" ] 3 => array:2 [ "nombre" => "D." 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Marcos-Vidal, R. González de Castro, A. García Rodríguez, D. García Rivera" "autores" => array:4 [ 0 => array:4 [ "nombre" => "J.M." "apellidos" => "Marcos-Vidal" "email" => array:1 [ 0 => "jmmarcosv@hotmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "R." "apellidos" => "González de Castro" ] 2 => array:2 [ "nombre" => "A." "apellidos" => "García Rodríguez" ] 3 => array:2 [ "nombre" => "D." "apellidos" => "García Rivera" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Anestesiología y Reanimación, Complejo Asistencial Universitario de León, León, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Disección de la vena yugular interna tras canalización de catéter venoso central" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1249 "Ancho" => 1667 "Tamanyo" => 359981 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "Axial plane, follow-up CT scan after central venous catheter cannulation showing the catheter in contact with the posterior wall, and an image of the tunica media. 2: Coronal plane showing the catheter and tunica media. 3: Removal of the catheter and re-insertion in the centre of the vein. 4: After removal of the catheter, image of residual thrombus. C: carotid artery; M: tunica media dissection; T: mural thrombus; Y: internal jugular vein. The arrows indicate the central venous catheter." ] ] ] "textoCompleto" => "A 68-year-old woman was scheduled for mitral valve replacement. After anaesthesia induction, the internal jugular vein was cannulated with a 20 cm Braun Certofix® Trio catheter. During placement, which was not ultrasound-guided, some difficulty was experienced in inserting the Seldinger guide wire, and after placement in the proximal lumen only blood was aspirated. We decided to perform an ultrasound examination, which showed dissection of the internal jugular. The catheter was removed and pressure was applied. Ultrasound follow-up at 48 h showed no anatomical alterations (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>).<elsevierMultimedia ident="fig0005"></elsevierMultimedia>The mechanism involved in venous dissection is the same as that of arterial dissection, namely rupture of the tunica media, although this type of lesion rarely progresses to a serious complication." "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "Please cite this article as: Marcos-Vidal JM, González de Castro R, García Rodríguez A, García Rivera D. Disección vena yugular interna tras canalización catéter venoso central. Rev Esp Anestesiol Reanim. 2021;68:372." ] ] "multimedia" => array:1 [ 0 => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1249 "Ancho" => 1667 "Tamanyo" => 359981 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "Axial plane, follow-up CT scan after central venous catheter cannulation showing the catheter in contact with the posterior wall, and an image of the tunica media. 2: Coronal plane showing the catheter and tunica media. 3: Removal of the catheter and re-insertion in the centre of the vein. 4: After removal of the catheter, image of residual thrombus. C: carotid artery; M: tunica media dissection; T: mural thrombus; Y: internal jugular vein. The arrows indicate the central venous catheter." ] ] ] ] "idiomaDefecto" => "en" "url" => "/23411929/0000006800000006/v1_202106271045/S2341192921000949/v1_202106271045/en/main.assets" "Apartado" => array:4 [ "identificador" => "70433" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images of the month" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23411929/0000006800000006/v1_202106271045/S2341192921000949/v1_202106271045/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341192921000949?idApp=UINPBA00004N"]

ISSN: 2341-1929

Revista Española de Anestesiología y Reanimación (REDAR) -the Spanish Journal of Anesthesiology and Resuscitation- is the scientific body of the Spanish Society of Anesthesiology, Resuscitation and Pain Therapy. This is a monthly journal (10 issues) that publishes scientific articles of all areas within its specialty: clinical anesthesia, resuscitation-intensive medicine and critical care, diagnosis and treatment of acute and chronic pain, urgent care and emergencies and studies on basic science and related fields. The journal accepts work in both Spanish and English.

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