Intraoperative ultrasound evidence of accidental simultaneous cannulation of the common carotid artery and internal jugular vein: illustrative case

Aditya M. Mittal, Kamil W. Nowicki, Ricardo J. Fernáandez-De Thomas, Jessica Mayor, Ryan M. McEnaney, Peter C. Gerszten

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

BACKGROUND Establishing central venous access is important to provide fluid resuscitation or medications intravenously to patients. OBSERVATIONS Although accidental cannulation of the internal carotid artery has been reported in the literature, to our knowledge this report is the first documented intraoperative ultrasound video demonstrating accidental and simultaneous common carotid artery and internal jugular cannulation during central line placement in the internal jugular vein. LESSONS Ultrasound use minimizes accidental carotid cannulation during central line placement in the internal jugular vein. Carotid artery puncture can be managed by external application of pressure or surgical reexploration.

Original languageEnglish (US)
Article numberCASE22286
JournalJournal of Neurosurgery: Case Lessons
Volume4
Issue number10
DOIs
StatePublished - Sep 1 2022
Externally publishedYes

Keywords

  • central venous line
  • common carotid artery
  • ultrasound

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

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