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Case Reports
. 2008;40(4):1107-10.
doi: 10.1007/s11255-008-9439-3. Epub 2008 Aug 16.

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

Glykeria Petrocheilou  1 , Constantinos Kokkinis, Sotiria Stathopoulou, Loukia Fragopoulou, Petros Mihos, Paraskevi J Papadaki, Marianna Vlychou
Affiliations
Case Reports

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

Glykeria Petrocheilou et al. Int Urol Nephrol. 2008.

Abstract

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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