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Palepu GB, Deven J, Subrahmanyam M, Mohan S. Impact of ultrasonography on central venous catheter insertion in intensive care. The Indian Journal of Radiology & Imaging 2009; 19(3): 191-198.

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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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