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Wigmore TJ, Symthe JF, Hacking MB, Raobaikady R, MacCullum NS. Effect of the implementation of NICE guidelines for ultrasound guidance on the complication rates associated with central venous catheter placement in patients presenting with routine surgery in a tertiary referral center. Br J Anaesth 2007; 99 (5): 662-5.

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Article

Arteriovenous Fistula and Pseudoaneurysm: A Rare Complication of Central Venous Catheterization

1Teerthanker Mahaveer Medical College and Research Center, Moradabad, U.P., India


American Journal of Medical Case Reports. 2016, Vol. 4 No. 7, 236-237
DOI: 10.12691/ajmcr-4-7-4
Copyright © 2016 Science and Education Publishing

Cite this paper:
Rajul Rastogi, Shourya Sharma, Yuktika Gupta, Pawan Joon, Asif Majid Wani, Vijai Pratap, Pankaj Kumar Das. Arteriovenous Fistula and Pseudoaneurysm: A Rare Complication of Central Venous Catheterization. American Journal of Medical Case Reports. 2016; 4(7):236-237. doi: 10.12691/ajmcr-4-7-4.

Correspondence to: Rajul  Rastogi, Teerthanker Mahaveer Medical College and Research Center, Moradabad, U.P., India. Email: eesharastogi@gmail.com

Abstract

Central venous catheterization (CVC) is a commonly performed invasive procedure in pre-operative period and for long-term intravenous access. Image-guided CVC has gained importance as it not only helps in reducing number of attempts but also prevents wrong internal jugular vein (IJV) punctures leading to reduced incidence & severity of CVC complications. Lack of availability of image-guidance related infrastructure and competence are responsible for non-image-guided CVC-related complications in developing countries. This article emphasizes the importance of image-guided CVC by discussing a case of arteriovenous fistula (AVF) between a small branch of external carotid artery and internal jugular vein detected in immediate postoperative period following CVC which was performed without image-guidance.

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