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Late cervical haematoma after canalization of high flow veno-venous catheter
Hematoma cervical tardío tras canalización de catéter venoso de alto flujo
B. Quevedo Sánchez
, A. Martínez Pérez, C. Amorós Verdú, F.J. Coves Orts
Corresponding author
Servicio de Medicina Intensiva, Hospital General Universitario de Elche, Elche, Alicante, Spain
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Sánchez-Andrés, M. Valiente Mateos, G. Ayas Faus, V. Domingo Triadó" "autores" => array:5 [ 0 => array:2 [ "nombre" => "M.D." "apellidos" => "Sánchez-Contreras" ] 1 => array:2 [ "nombre" => "C." "apellidos" => "Sánchez-Andrés" ] 2 => array:2 [ "nombre" => "M." "apellidos" => "Valiente Mateos" ] 3 => array:2 [ "nombre" => "G." "apellidos" => "Ayas Faus" ] 4 => array:2 [ "nombre" => "V." 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Quevedo Sánchez, A. Martínez Pérez, C. Amorós Verdú, F.J. Coves Orts" "autores" => array:4 [ 0 => array:4 [ "nombre" => "B." "apellidos" => "Quevedo Sánchez" "email" => array:1 [ 0 => "bequesan1@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Martínez Pérez" ] 2 => array:2 [ "nombre" => "C." "apellidos" => "Amorós Verdú" ] 3 => array:2 [ "nombre" => "F.J." "apellidos" => "Coves Orts" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Medicina Intensiva, Hospital General Universitario de Elche, Elche, Alicante, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Hematoma cervical tardío tras canalización de catéter venoso de alto flujo" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 691 "Ancho" => 1500 "Tamanyo" => 111304 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Coronal section: laterocervical haematoma. Arrow: extravasation of contrast media. (B) Transverse section: laterocervical haematoma. Arrow: extravasation of contrast media.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 72-year-old man was admitted to the intensive care unit for respiratory failure secondary to myasthenia gravis treated with pyridostigmine, corticosteroids, and immunoglobulins. Given his lack of response, plasmapheresis was initiated. We attempted unsuccessfully to place the high-flow veno-venous catheter in the right jugular vein, but were ultimately successful in canulating the right femoral artery. At 48<span class="elsevierStyleHsp" style=""></span>h, the patient developed a large neck mass displacing the airway, causing hypoxemic respiratory failure that required emergency orotracheal intubation. We performed a cranial CT scan (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>) that showed a haematoma measuring 55<span class="elsevierStyleHsp" style=""></span>mm<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>48<span class="elsevierStyleHsp" style=""></span>mm with contrast media extravasation, suggestive of active bleeding, and a 55<span class="elsevierStyleHsp" style=""></span>mm mm segment of the right jugular vein that could not be identified, probably due to injury. Given the findings, a vascular surgeon was consulted, who drained the haematoma and sutured the internal jugular vein.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Quevedo Sánchez B, Martínez Pérez A, Amorós Verdú C, Coves Orts FJ. Hematoma cervical tardío tras canalización de catéter venoso de alto flujo. Rev Esp Anestesiol Reanim. 2020;67:223–224.</p>" ] ] "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 691 "Ancho" => 1500 "Tamanyo" => 111304 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Coronal section: laterocervical haematoma. Arrow: extravasation of contrast media. (B) Transverse section: laterocervical haematoma. 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