Carotid Artery Aneurysm-Induced Mediastinal Hematoma Leading to Airway Compression-A Rare Complication of Internal Jugular Vein Puncture

作者全名：Xiao, Linlin; Chen, Xiaoying; Zhang, Dan

作者地址：[Xiao, Linlin; Chen, Xiaoying; Zhang, Dan] Chongqing Med Univ, Affiliated Hosp 1, 1 Youyi Rd, Chongqing 400042, Peoples R China

通信作者：Zhang, D (通讯作者)，Chongqing Med Univ, Affiliated Hosp 1, 1 Youyi Rd, Chongqing 400042, Peoples R China.

来源：VASCULAR AND ENDOVASCULAR SURGERY

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:001206511500001

JCR分区：Q4

影响因子：0.7

年份：2024

卷号：58

期号：6

开始页：676

结束页：679

文献类型：Article

关键词：internal jugular vein puncture; complication; aneurysm; mediastinal hematoma

摘要：Carotid artery puncture is a common complication of internal jugular vein (IJV) catheterization. However, there are few reports about an aneurysm from the carotid artery that can develop into an occult mediastinal hematoma, leading to airway compression. In this case study, we present the case of a 71-year-old male who experienced an aneurysm and delayed mediastinal hematoma, ultimately resulting in airway compression after right jugular line insertion. Our findings highlight the importance of not only addressing local hematoma formation at the puncture site promptly, but also recognizing the potential for aneurysm extension into the mediastinum and the formation of an occult hematoma, which can lead to airway compression. Additionally, we provide a summary of landmark technique precautions that can help reduce the occurrence of such severe complications.

基金机构：Science and Technology Commission of Chongqing 14 [cstc2020jcyj-msxmX0761]; Program for Chongqing science and Technology Bureau [cstc2020jcyj-msxmX0922]; Basic science and cutting-edge technology research project [20210138]

基金资助正文：The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by grants from the Science and Technology Commission of Chongqing 14 (cstc2020jcyj-msxmX0761), program for Chongqing science and Technology Bureau (cstc2020jcyj-msxmX0922) and Basic science and cutting-edge technology research project (20210138). Funding body play a facilitating role in revising of the manuscript.