Iatrogenic pseudoaneurysm of the brachiocephalic artery: a rare complication of Hickman line insertion

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作者：
Glykeria Petrocheilou
Constantinos Kokkinis
Sotiria Stathopoulou
Loukia Fragopoulou
Petros Mihos
Paraskevi J. Papadaki
Marianna Vlychou
机构：
[1] KAT Hospital,Department of Radiology
[2] KAT Hospital,Department of Thoracic Surgery
[3] University Hospital of Larissa,Department of Radiology
[4] Medical School of Thessaly,undefined
来源：
International Urology and Nephrology | 2008年 / 40卷
关键词：
False aneurysm; Brachiocephalic artery; Central venous catheterization; Hemodialysis;
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摘要：
Central venous catheterization is widely used for hemodialysis for patients with renal failure. A number of short and long-term complications have been reported in literature. We describe a rare case of a lethal iatrogenic injury of the brachiocephalic artery (BA) in a 65-year-old woman following subclavian venous catheterization with a Hickman catheter. Contrast-enhanced CT-scan and reconstruction images demonstrated a pseudoaneurysm of the BA. Due to clinical deterioration, the patient underwent urgent sternotomy. Aspects concerning prevention and diagnosis of the above complication are analyzed.
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