Korean Journal of Nephrology 2010;29(5):667-669.
Treatment of Pseudoaneurysm Caused by Insertion of Dual Lumen Catheter for Hemodialysis: A Case Report
Jae Jin Hwang, M.D.1, Wan Soo Kim, M.D.1, Dae Hong Jeon, M.D.1, Yeo Jin Kang, M.D.1, Dong Jun Park, M.D.1, Se-Ho Chang, M.D.1, Tae Bum Shin, M.D.2 and Hyun-Jung Kim, M.D.1
Department of Internal Medicine1 and Radiology2
School of Medicine, Gyeongsang National University, Jinju, South Korea
증례 : 혈액투석을 위한 이중도관 삽입 후 생긴 가성동맥류의 치료 1예
황재진1, 김완수1, 전대홍1, 강여진1, 박동준1, 장세호1, 신태범2, 김현정1
경상대학교 의학전문대학원 내과학교실1 , 영상의학교실2
Abstract
In patients with end-stage renal disease, cannulation of the central venous system with large-bore dual-lumen catheters is often necessary until a functioning vascular access can be created. However, the technique of placing a dual-lumen catheter can make complication. The right internal jugular vein is the preferred site of hemodialysis catheter placement because its complication rate was lower compared with the subclavian and left internal jugular veins. Common complications include severe bleeding, hematoma formation, pneumothorax and hemothorax, atrial or ventricular arrhythmias, malposition of the catheter, air embolism, secondary infections, and intraarterial placement of the catheter. We report an unusual case of pseudoaneurysm of the superior thyroidal artery complicating an attempt of internal jugular-vein catheterization which was successfully treated by endovascular coil embolization.
Key Words: Pseudoaneurysm, Catheterization, Embolization, Hemodialysis


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