Abstract
Accidental carotid cannulation using a large-bore catheter is one of the complications of central venous catheter insertion, reported in 1 % of performed procedures. Management of arterial catheterization contains direct manual compression, endovascular treatment, and open surgical repair. Inadvertent arterial cannulation can lead to hemorrhage, pseudoaneurysm, arteriovenous fistula, stroke or death. Mechanical removal of thrombotic material is presently the most effective method of stroke treatment. Rapid and early restoration of blood flow is crucial for the improvement of the neurological condition. This report describes a case of a patient with signs of severe stroke after management of accidental carotid catheterization using balloon tamponade. Aspiration thrombectomy was successfully performed to manage acute ischaemia of the brain.
Highlights
Hemodialysis is one of the indications for central venous catheterization (CVC)
This report describes a case of a patient with signs of severe stroke after management of accidental carotid catheterization using balloon tamponade
Mechanical thrombectomy is presently the most effective managing method of acute ischaemic stroke caused by occlusion of a large cerebral artery [6]
Summary
*Заява про конфлікт інтересів (Ми заявляємо, що у нас немає ніякого конфлікту інтересів). *Заявление о конфликте интересов (Мы заявляем, что у нас нет никакого конфликта интересов). Accidental carotid cannulation using a large-bore catheter is one of the complications of central venous catheter insertion, reported in 1 % of performed procedures. Management of arterial catheterization contains direct manual compression, endovascular treatment, and open surgical repair. Inadvertent arterial cannulation can lead to hemorrhage, pseudoaneurysm, arteriovenous fistula, stroke or death. Mechanical removal of thrombotic material is presently the most effective method of stroke treatment. This report describes a case of a patient with signs of severe stroke after management of accidental carotid catheterization using balloon tamponade. Aspiration thrombectomy was successfully performed to manage acute ischaemia of the brain. List of abbreviations CVC Сentral venous catheterization DSA Digital subtraction angiography
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