Emergent Endovascular Treatment of Iatrogenous Pseudoaneurysms of the
Neck Following Jugular Catheterization

Sinan      Deniz; Gizem      Abaci

doi:10.2174/1573405620666230627105939

Abstract

Introduction: Inadvertent puncture of the adjacent structures during a central venous catheterization is a well-known complication which may be managed conservatively when the injury is self-limiting, but requires a further treatment when there’s a proof of an active bleeding and/or a growing hematoma.

Case Representation: We report a case of a 57-year-old bone-marrow-transplant patient with neck hematoma and bleeding followed by a non-sonographic-guided central venous line placement. CT showed a right sided hematoma in the neck region with a midline shift of the airway. The patient was under prophylactic LMWH. Emergent angiography demonstrated three different bleeding sites which were successfully embolized with coil and liquid embolic agents by endovascular means.

Conclusion: Interventional radiology offers a quick and safe approach in the management of potentially life-threatening bleeding complications.

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DOI https://dx.doi.org/10.2174/1573405620666230627105939	Print ISSN 1573-4056
Publisher Name Bentham Science Publisher	Online ISSN 1875-6603

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Emergent Endovascular Treatment of Iatrogenous Pseudoaneurysms of the Neck Following Jugular Catheterization

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