Central venous access: Accidental arterial puncture in a patient with right-sided aortic arch

Marco Ricci, Anibal O Puente, Flavia Gusmano, Raymond LaRaja

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Objective: To describe an unusual case of accidental insertion of a central line into an anomalous right-sided aortic arch. Design: Case report, clinical. Settings: Community hospital, university-affiliated. Conclusions: Intraoperative radioscopy, chest radiographs, and pressure transducer monitoring usually allow for the prompt recognition of the accidental insertion of venous catheters into the arterial system. However, in the presence of a right-sided aortic arch, a central line could be erroneously inserted into the arterial system and the radiologic findings can give the false impression of a correct placement in the superior vena cava.

Original languageEnglish (US)
Pages (from-to)1025-1026
Number of pages2
JournalCritical Care Medicine
Volume27
Issue number5
DOIs
StatePublished - Jun 19 1999
Externally publishedYes

Fingerprint

Patient Rights
Thoracic Aorta
Punctures
Pressure Transducers
Superior Vena Cava
Community Hospital
Thorax
Catheters

Keywords

  • Arterial puncture
  • Carotid artery
  • Central venous access
  • Complications
  • Hemothorax
  • Jugular vein
  • Pneumothorax
  • Radiography
  • Right-sided aortic arch
  • Venipuncture

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine

Cite this

Central venous access : Accidental arterial puncture in a patient with right-sided aortic arch. / Ricci, Marco; Puente, Anibal O; Gusmano, Flavia; LaRaja, Raymond.

In: Critical Care Medicine, Vol. 27, No. 5, 19.06.1999, p. 1025-1026.

Research output: Contribution to journalArticle

Ricci, Marco ; Puente, Anibal O ; Gusmano, Flavia ; LaRaja, Raymond. / Central venous access : Accidental arterial puncture in a patient with right-sided aortic arch. In: Critical Care Medicine. 1999 ; Vol. 27, No. 5. pp. 1025-1026.
@article{d3479a01d3ff46e184c418e5da0dd0e9,
title = "Central venous access: Accidental arterial puncture in a patient with right-sided aortic arch",
abstract = "Objective: To describe an unusual case of accidental insertion of a central line into an anomalous right-sided aortic arch. Design: Case report, clinical. Settings: Community hospital, university-affiliated. Conclusions: Intraoperative radioscopy, chest radiographs, and pressure transducer monitoring usually allow for the prompt recognition of the accidental insertion of venous catheters into the arterial system. However, in the presence of a right-sided aortic arch, a central line could be erroneously inserted into the arterial system and the radiologic findings can give the false impression of a correct placement in the superior vena cava.",
keywords = "Arterial puncture, Carotid artery, Central venous access, Complications, Hemothorax, Jugular vein, Pneumothorax, Radiography, Right-sided aortic arch, Venipuncture",
author = "Marco Ricci and Puente, {Anibal O} and Flavia Gusmano and Raymond LaRaja",
year = "1999",
month = "6",
day = "19",
doi = "10.1097/00003246-199905000-00053",
language = "English (US)",
volume = "27",
pages = "1025--1026",
journal = "Critical Care Medicine",
issn = "0090-3493",
publisher = "Lippincott Williams and Wilkins",
number = "5",

}

TY - JOUR

T1 - Central venous access

T2 - Accidental arterial puncture in a patient with right-sided aortic arch

AU - Ricci, Marco

AU - Puente, Anibal O

AU - Gusmano, Flavia

AU - LaRaja, Raymond

PY - 1999/6/19

Y1 - 1999/6/19

N2 - Objective: To describe an unusual case of accidental insertion of a central line into an anomalous right-sided aortic arch. Design: Case report, clinical. Settings: Community hospital, university-affiliated. Conclusions: Intraoperative radioscopy, chest radiographs, and pressure transducer monitoring usually allow for the prompt recognition of the accidental insertion of venous catheters into the arterial system. However, in the presence of a right-sided aortic arch, a central line could be erroneously inserted into the arterial system and the radiologic findings can give the false impression of a correct placement in the superior vena cava.

AB - Objective: To describe an unusual case of accidental insertion of a central line into an anomalous right-sided aortic arch. Design: Case report, clinical. Settings: Community hospital, university-affiliated. Conclusions: Intraoperative radioscopy, chest radiographs, and pressure transducer monitoring usually allow for the prompt recognition of the accidental insertion of venous catheters into the arterial system. However, in the presence of a right-sided aortic arch, a central line could be erroneously inserted into the arterial system and the radiologic findings can give the false impression of a correct placement in the superior vena cava.

KW - Arterial puncture

KW - Carotid artery

KW - Central venous access

KW - Complications

KW - Hemothorax

KW - Jugular vein

KW - Pneumothorax

KW - Radiography

KW - Right-sided aortic arch

KW - Venipuncture

UR - http://www.scopus.com/inward/record.url?scp=0032993975&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0032993975&partnerID=8YFLogxK

U2 - 10.1097/00003246-199905000-00053

DO - 10.1097/00003246-199905000-00053

M3 - Article

C2 - 10362432

AN - SCOPUS:0032993975

VL - 27

SP - 1025

EP - 1026

JO - Critical Care Medicine

JF - Critical Care Medicine

SN - 0090-3493

IS - 5

ER -