Unexpected complication of arteriovenous fistula of the left common carotid to internal jugular vein following central venous catheterization

作     者：Tan Chor Lip Henry Tan Jih Huei Mohamad Yuzaidi Lenny Suryani Safri K.Krishna Imran Alwi Rizal Md Idris Mohamad Azim Hanafiah Harunarashid Henry Tan Chor Lip;Jih Huei Tan;Yuzaidi Mohamad;Safri Lenny Suryani;Krishna K.;Rizal Imran Alwi;Azim Md Idris Mohamad;Harunarashid Hanafiah

作者机构：Trauma Surgery UnitDepartment of SurgeryHospital Sultanah AminahJohor BahruMalaysia Vascular Surgery UnitDepartment of General SurgeryFaculty of MedicineNational University of Malaysia Medical CentreKuala LumpurMalaysia 

出 版 物：《Chinese Journal of Traumatology》 (中华创伤杂志（英文版）)

年 卷 期：2020年第23卷第1期

页      面：29-31页

核心收录：

学科分类：0403[教育学-体育学] 1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Artery Cannulation Arterio-venous fistula Ultrasound 

摘      要：Incidence of inadvertent arterial puncture secondary to central venous catheter insertion is not common with an arterial puncture rate of1%.This is due to the advancements and wide availability of ultrasound to guide its *** of arteriovenous fistula after arterial puncture is an unexpected *** date,only five cases(including this case)of acquired arteriovenous fistula formation has been described due to inadvertent common carotid *** present case is a 26-year-old man sustained traumatic brain injuries,chest injuries and multiple bony *** resuscitative phase,attempts at left central venous catheter via left internal jugular vein under ultrasound guidance resulted in inadvertent puncture into the left common carotid *** neck exploration revealed that the catheter had punctured through the left internal jugular vein into the common carotid artery with formation of arteriovenous *** catheter was removed successfully and common carotid artery was ***,the patient recovered and clinic visits revealed no neurological *** our literature review,the safest method for removal is via endovascular and open surgical *** pull/push technique(direct removal with compression)is not recommended due to the high risk for stroke,bleeding and hematoma formation.