Pfister, R. and Michels, G. (2018). Management of a massive cervical hematoma after insertion of a central venous catheter under tirofiban. Med. Klin.-Intensivmed Notfallmed., 113 (8). S. 676 - 681. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 2193-6226

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Abstract

An 81-year-old woman with infarct-related cardiogenic shock was admitted to the cardiac catheterization laboratory. Coronary angiography revealed an occlusion of the ramus interventricularis anterior. Due to incomplete flow after the percutaneous coronary intervention with implantation of three coronary stents and high thrombus burden, tirofiban was given as abail out therapy. Acentral venous catheter (CVC) aimed at the internal jugular vein was incidentally inserted in the common carotid artery, resulting in acute dyspnea and ahemorrhagic shock due to amassive cervical hematoma. Although the CVC is afrequently used intervention in critical care, the procedure still carries some risks of iatrogenic injury. Knowledge about the emergency management of CVC-associated complications is therefore essential.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Pfister, R.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Michels, G.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-167934
DOI: 10.1007/s00063-018-0422-1
Journal or Publication Title: Med. Klin.-Intensivmed Notfallmed.
Volume: 113
Number: 8
Page Range: S. 676 - 681
Date: 2018
Publisher: SPRINGER HEIDELBERG
Place of Publication: HEIDELBERG
ISSN: 2193-6226
Language: German
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
INHIBITOR TIROFIBAN; COMPLICATIONS; HEMORRHAGE; SAFETY; RFVIIAMultiple languages
Medicine, General & InternalMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/16793

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