Management of acute ischaemic stroke due to Sheldon catheter insertion into the right common carotid artery using the aspiration thrombectomy: a case report
Accidental carotid cannulation using a large-bore catheter is one of the complications of central venous catheter insertion, reported in 1 % of performed procedures. Management of arterial catheterization contains direct manual compression, endovascular treatment, and open surgical repair. Inadvertent arterial cannulation can lead to hemorrhage, pseudoaneurysm, arteriovenous fistula, stroke or death. Mechanical removal of thrombotic material is presently the most effective method of stroke treatment. Rapid and early restoration of blood flow is crucial for the improvement of the neurological condition. This report describes a case of a patient with signs of severe stroke after management of accidental carotid catheterization using balloon tamponade. Aspiration thrombectomy was successfully performed to manage acute ischaemia of the brain.
Ayoub C, Lavallée C, Denault A. Ultrasound guidance for internal jugular vein cannulation: Continuing Professional Development. Can J Anesth. 2010;57:500-14. https://doi.org/10.1007/s12630-010-9291-7
Guilbert M-C, Elkouri S, Bracco D, et al. Arterial trauma during central venous catheter insertion: Case series, review and proposed algorithm. J Vasc Surg. 2008;48: 918-25. https://doi.org/10.1016/j.jvs.2008.04.046
Bowdle A. Vascular complications of central venous catheter placement: evidence-based methods for prevention and treatment. J Cardiothorac Vasc Anesth. 2014;28, 358-68. https://doi.org/10.1053/j.jvca.2013.02.027
Dunham GM, Vaidya SS. Balloon tamponade repair after inadvertent subclavian artery catheterization. J Vasc Access. 2015;16:152-7. https://doi.org/10.5301/jva.5000293
Dixon OGB, Smith GE, Carradice D, Chetter IC. A systematic review of management of inadvertent arterial injury during central venous catheterisation. J Vasc Access. 2017;18:97-102. https://doi.org/10.5301/jva.5000611
Goyal M, Demchuk AM, Menon BK, et al. Randomized assessment of rapid endovascular treatment of ischemic stroke. N Engl J Med. 2015;372:1019-30. http://doi.org/10.1016/S0140-6736(16)00163-X
Evans MRB, White P, Cowley P, Werring DJ. Revolution in acute ischaemic stroke care: a practical guide to mechanical thrombectomy. Pract Neurol. 2017;17:252-65. https://doi.org/10.1136/practneurol-2017-001685
Almekhlafi MA, Menon BK, Freiheit EA, et al. A meta-analysis of observational intra-arterial stroke therapy studies using the Merci Device, Penumbra System, and Retrievable Stents. Am J Neuroradiol. 2013;34:140-5. https://doi.org/10.3174/ajnr.A3276
Caranfa JT, Nguyen E, Ali R, et al. Mechanical endovascular therapy for acute ischemic stroke: An indirect treatment comparison between Solitaire and Penumbra thrombectomy devices. PLOS ONE. 2018;13:e0191657. https://doi.org/10.1371/journal.pone.0191657
Lapergue B, Blanc R, Gory B, et al. Effect of endovascular contact aspiration vs stent retriever on revascularization in patients with acute ischemic stroke and large vessel occlusion. The ASTER Randomized Clinical Trial. J Vasc Surg. 2017;66:1910. https://doi.org/10.1016/j.jvs.2017.10.034
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