RESUMO
The internal jugular vein is increasingly being used as a route for dual-lumen hemodialysis catheter placement. The use of jugular catheters as vascular access for hemodialysis can be associated with serious complications. The most frequent problems are the arterial puncture and haematoma. We present a rare complication of catheterization of the right common carotid artery during dual-lumen catheter placement into the right internal jugular vein. The complication was diagnosed the next day and the catheter was removed operatively. A review of the literature on complicated carotid artery catheterization is also presented.
Assuntos
Artéria Carótida Primitiva/cirurgia , Diálise Renal/instrumentação , Idoso , Artéria Carótida Primitiva/diagnóstico por imagem , Cateterismo Venoso Central/efeitos adversos , Cateterismo Venoso Central/instrumentação , Cateteres de Demora/efeitos adversos , Remoção de Dispositivo , Feminino , Humanos , Veias Jugulares/diagnóstico por imagem , Veias Jugulares/cirurgia , Falência Renal Crônica/terapia , RadiografiaRESUMO
Permanent central catheter for hemodialysis was inserted via external jugular vein in 95 patients. In all the cases the catheter blood flow was more than 250 ml/min. There were no severe complications. The procedure of insertion of permanent catheter for hemodialysis via the external jugular vein is described. It is concluded that the insertion of permanent catheter for hemodialysis via the external jugular vein is a simple and short-time procedure without any severe complications.