Title:Emergent Endovascular Treatment of Iatrogenous Pseudoaneurysms of the
Neck Following Jugular Catheterization
Volume: 20
Author(s): Sinan Deniz*Gizem Abaci
Affiliation:
- Department of Radiology, Koc University Hospital, Istanbul Turkey
Keywords:
Bleeding, Embolization, Endovascular, Central venous catheter, Coils, Pseudoaneurysm, Ultrasound guidance.
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.
