Posterior Cerebral Infarction following Loss of Guide Wire

Jean-Marc Bugnicourt,Bruno Bonnaire,Denis Belhomme,Cécile Manaouil,Jean-Marc Constans

doi:10.1155/2013/164710

Abstract

Stroke after internal jugular venous cannulation typically leads to acute carotid or vertebral arteries injury and cerebral ischemia. We report the first case of delayed posterior cerebral infarction following loss of guide wire after left internal jugular venous cannulation in a 46-year-old woman with a history of inflammatory bowel disease. Our observation highlights that loss of an intravascular guide wire can be a cause of ischemic stroke in patients undergoing central venous catheterization.

Highlights

Inadequate placement of a jugular venous catheter is a wellknown complication, with serious and immediate secondary complications including stroke
We present the first case of delayed posterior cerebral infarction following loss of guide wire after left internal jugular venous cannulation
Left internal jugular venous cannulation was performed for total parenteral nutrition using the Seldinger technique

Summary

Introduction

Inadequate placement of a jugular venous catheter is a wellknown complication, with serious and immediate secondary complications including stroke. Acute complications are usually associated with injury to contiguous structures [1], leading to carotid [2,3,4,5,6] or vertebral [7,8,9] arteries thrombosis and cerebral ischemia [2,3,4]. We present the first case of delayed posterior cerebral infarction following loss of guide wire after left internal jugular venous cannulation

Case Presentation

Discussion