Korean J Nephrol.  2007 Mar;26(2):279-283.

A Case of Pseudoaneurysm of the Common Carotid Artery Associated with Central Venous Catheterization in a Patient on Hemodialysis

Affiliations
  • 1Department of Internal Medicine Dongguk University College of Medicine, Ilsan, Korea. kskimmd@duih.org

Abstract

Aneurysm of the carotid artery is an uncommon clinical disease which can occur as the result of atherosclerotic degeneration, fibromuscular dysplasia, or traumatic injury. Because of the risk of aneurysm rupture as well as the neurological sequelae caused by cerebral atheroembolism, surgical intervention is usually required. Internal jugular vein cannulation is the preferred approach for temporary hemodialysis catheter placement. However, the patient with renal failure on hemodialysis who has comorbid condition, the risk of pseudoaneurysm of carotid artery is increased. Here we report a patient on hemodialysis who developed common carotid artery pseudoaneurysm following an attempted internal jugular vein catheterization. A review of relevant literature is also presented.

Keyword

Carotid artery; Pseudoaneurysm; Central venous catheterization; Renal failure; Hemodialysis

MeSH Terms

Aneurysm
Aneurysm, False*
Carotid Arteries
Carotid Artery, Common*
Catheterization
Catheterization, Central Venous*
Catheters
Central Venous Catheters*
Embolism, Cholesterol
Fibromuscular Dysplasia
Humans
Jugular Veins
Renal Dialysis*
Renal Insufficiency
Rupture
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