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혈액투석을 위한 이중도관 삽입 후 생긴 가성동맥류의 치료
황재진 ( Jae Jin Hwang ),김완수 ( Wan Soo Kim ),전대홍 ( Dae Hong Jeon ),강여진 ( Yeo Jin Kang ),박동준 ( Dong Jun Park ),장세호 ( Se Ho Chang ),신태범 ( Tae Bum Shin ),김현정 ( Hyun Jung Kim ) 대한신장학회 2010 Kidney Research and Clinical Practice Vol.29 No.5
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.