Central venous catheter insertion into the false lumen of a complicated aortic dissection

Bas A., Goksedef D., Kandemirli S. G., Gulsen F., Numan F.

SCOTTISH MEDICAL JOURNAL, cilt.62, sa.3, ss.115-118, 2017 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Editöre Mektup
  • Cilt numarası: 62 Sayı: 3
  • Basım Tarihi: 2017
  • Doi Numarası: 10.1177/0036933017715962
  • Dergi Adı: SCOTTISH MEDICAL JOURNAL
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.115-118
  • İstanbul Üniversitesi Adresli: Evet

Özet

Thoracic endovascular repair is considered the first-line treatment in complicated acute type B dissection. Central venous catheters provide valuable vascular access during endovascular treatments. However, central venous catheters are not without complications. Herein, we report a case of central venous catheter insertion into the false lumen of a complicated acute type B aortic dissection by direct aortic puncture. The tip of the central venous catheter was in the false lumen. The central venous catheter was left in place initially and was removed after graft stent deployment. This case illustrates the importance of image guidance during central venous catheter insertion, which may further complicate an already complicated aortic dissection case.