J Korean Soc Radiol.  2009 Feb;60(2):93-96. 10.3348/jksr.2009.60.2.93.

Endovascular Treatment of an Iatrogenic Right Internal Jugular Vein-Right Subclavian Artery Fistula and Pseudoaneurysm During the Attempt of a Hemodialysis Catheter Insertion: A Case Report

• Cho EM
• Kim HL
• Kim DH

• KMID: 2002975
• DOI: http://doi.org/10.3348/jksr.2009.60.2.93

Abstract

Complications during the placement of a central venous catheter, via the right internal jugular vein puncture include local hematoma, hemothorax, pneumothorax, central vein thrombosis, and hemopericardium. Iatrogenic right internal jugular vein-right subclavian artery fistula with the formation of right subclavian artery pseudoaneurysms is an extremely rare complication in patients undergoing a central vein puncture. We report the case of a patient who developed a local hematoma at the vein puncture site and dyspnea due to a right internal jugular vein-subclavian artery fistula and a right subclavian artery pseudoaneurysm at the mediastinum after puncture of right internal jugular vein. The patient was successfully treated by embolization using microcoils.

MeSH Terms

Aneurysm, False
Arteries
Arteriovenous Fistula
Catheterization, Central Venous
Catheters
Central Venous Catheters
Dyspnea
Embolization, Therapeutic
Fistula
Hematoma
Hemothorax
Humans
Jugular Veins
Mediastinum
Pericardial Effusion
Pneumothorax
Punctures
Renal Dialysis
Subclavian Artery
Thrombosis
Veins