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Carotid Artery Aneurysm-Induced Mediastinal Hematoma Leading to Airway Compression-A Rare Complication of Internal Jugular Vein Puncture.
- Source :
-
Vascular and endovascular surgery [Vasc Endovascular Surg] 2024 Aug; Vol. 58 (6), pp. 676-679. Date of Electronic Publication: 2024 Apr 22. - Publication Year :
- 2024
-
Abstract
- Carotid artery puncture is a common complication of internal jugular vein (IJV) catheterization. However, there are few reports about an aneurysm from the carotid artery that can develop into an occult mediastinal hematoma, leading to airway compression. In this case study, we present the case of a 71-year-old male who experienced an aneurysm and delayed mediastinal hematoma, ultimately resulting in airway compression after right jugular line insertion. Our findings highlight the importance of not only addressing local hematoma formation at the puncture site promptly, but also recognizing the potential for aneurysm extension into the mediastinum and the formation of an occult hematoma, which can lead to airway compression. Additionally, we provide a summary of landmark technique precautions that can help reduce the occurrence of such severe complications.<br />Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
- Subjects :
- Aged
Humans
Male
Carotid Artery Diseases diagnostic imaging
Carotid Artery Diseases etiology
Carotid Artery Diseases therapy
Catheterization, Central Venous adverse effects
Catheterization, Central Venous instrumentation
Treatment Outcome
Vascular System Injuries etiology
Vascular System Injuries diagnostic imaging
Vascular System Injuries therapy
Airway Obstruction etiology
Airway Obstruction diagnostic imaging
Airway Obstruction therapy
Aneurysm diagnostic imaging
Aneurysm etiology
Aneurysm surgery
Carotid Artery Injuries etiology
Carotid Artery Injuries diagnostic imaging
Hematoma etiology
Hematoma diagnostic imaging
Hematoma therapy
Jugular Veins injuries
Punctures
Subjects
Details
- Language :
- English
- ISSN :
- 1938-9116
- Volume :
- 58
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Vascular and endovascular surgery
- Publication Type :
- Academic Journal
- Accession number :
- 38648073
- Full Text :
- https://doi.org/10.1177/15385744241247535