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KMID : 1103720090600020093
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Journal of the Korean Society of Radiology
2009 Volume.60 No. 2 p.93 ~ p.96
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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
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Cho Eui-Min
Kim Hyun-Lee
Kim Dong-Hyun
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Abstract
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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.
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KEYWORD
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Arteriovenous fistula, Embolization, therapeutic, Catheterization, central venous
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