{"title":"医源性中心动静脉瘘1例。","authors":"Poornima Palanisamy, Chandra Sena Muniswamy, Muralikrishna Nekkanti, Padabeetu Subramanya Seetharama Bhat, Vinay Kothathi Shivaswamy, Davu Narendra Babu","doi":"10.1007/s12055-025-01951-6","DOIUrl":null,"url":null,"abstract":"<p><p>Iatrogenic complications provide insight into the limitations of procedures. Complications associated with insertion of permanent dialysis catheter are numerous but central arterio-venous fistulas (cAVF) are a rarity. Our case reports a cAVF between the innominate vessels post insertion of a tunneled hemo-dialysis central venous catheter (HD-CVC) via left internal jugular vein (IJV) in a 43-year-old female. She presented with progressive swelling in the left side of the neck and fullness of the left supra-clavicular fossa and supra-sternal notch with dyspnea upon exertion. High output cardiac failure was noted. Due to the impending rupture status at the catheter insertion site, surgery was expedited. The sternum was split and the communication between the arterial and venous system successfully ligated. Patient was discharged after a week. Literature search culminated in describing this first innominate arterio-venous fistula (AVF) post HD-CVC insertion case and its management.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s12055-025-01951-6.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 9","pages":"1198-1201"},"PeriodicalIF":0.6000,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12373562/pdf/","citationCount":"0","resultStr":"{\"title\":\"Iatrogenic central arterio-venous fistula-case report.\",\"authors\":\"Poornima Palanisamy, Chandra Sena Muniswamy, Muralikrishna Nekkanti, Padabeetu Subramanya Seetharama Bhat, Vinay Kothathi Shivaswamy, Davu Narendra Babu\",\"doi\":\"10.1007/s12055-025-01951-6\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Iatrogenic complications provide insight into the limitations of procedures. Complications associated with insertion of permanent dialysis catheter are numerous but central arterio-venous fistulas (cAVF) are a rarity. Our case reports a cAVF between the innominate vessels post insertion of a tunneled hemo-dialysis central venous catheter (HD-CVC) via left internal jugular vein (IJV) in a 43-year-old female. She presented with progressive swelling in the left side of the neck and fullness of the left supra-clavicular fossa and supra-sternal notch with dyspnea upon exertion. High output cardiac failure was noted. Due to the impending rupture status at the catheter insertion site, surgery was expedited. The sternum was split and the communication between the arterial and venous system successfully ligated. Patient was discharged after a week. Literature search culminated in describing this first innominate arterio-venous fistula (AVF) post HD-CVC insertion case and its management.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s12055-025-01951-6.</p>\",\"PeriodicalId\":13285,\"journal\":{\"name\":\"Indian Journal of Thoracic and Cardiovascular Surgery\",\"volume\":\"41 9\",\"pages\":\"1198-1201\"},\"PeriodicalIF\":0.6000,\"publicationDate\":\"2025-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12373562/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Indian Journal of Thoracic and Cardiovascular Surgery\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1007/s12055-025-01951-6\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/5/14 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q4\",\"JCRName\":\"CARDIAC & CARDIOVASCULAR SYSTEMS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Indian Journal of Thoracic and Cardiovascular Surgery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1007/s12055-025-01951-6","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/5/14 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}
Iatrogenic central arterio-venous fistula-case report.
Iatrogenic complications provide insight into the limitations of procedures. Complications associated with insertion of permanent dialysis catheter are numerous but central arterio-venous fistulas (cAVF) are a rarity. Our case reports a cAVF between the innominate vessels post insertion of a tunneled hemo-dialysis central venous catheter (HD-CVC) via left internal jugular vein (IJV) in a 43-year-old female. She presented with progressive swelling in the left side of the neck and fullness of the left supra-clavicular fossa and supra-sternal notch with dyspnea upon exertion. High output cardiac failure was noted. Due to the impending rupture status at the catheter insertion site, surgery was expedited. The sternum was split and the communication between the arterial and venous system successfully ligated. Patient was discharged after a week. Literature search culminated in describing this first innominate arterio-venous fistula (AVF) post HD-CVC insertion case and its management.
Supplementary information: The online version contains supplementary material available at 10.1007/s12055-025-01951-6.
期刊介绍：
The primary aim of the Indian Journal of Thoracic and Cardiovascular Surgery is education. The journal aims to dissipate current clinical practices and developments in the area of cardiovascular and thoracic surgery. This includes information on cardiovascular epidemiology, aetiopathogenesis, clinical manifestation etc. The journal accepts manuscripts from cardiovascular anaesthesia, cardiothoracic and vascular nursing and technology development and new/innovative products.The journal is the official publication of the Indian Association of Cardiovascular and Thoracic Surgeons which has a membership of over 1000 at present.DescriptionThe journal is the official organ of the Indian Association of Cardiovascular-Thoracic Surgeons. It was started in 1982 by Dr. Solomon Victor and ws being published twice a year up to 1996. From 2000 the editorial office moved to Delhi. From 2001 the journal was extended to quarterly and subsequently four issues annually have been printed out at time and regularly without fail. The journal receives manuscripts from members and non-members and cardiovascular surgeons. The manuscripts are peer reviewed by at least two or sometimes three or four reviewers who are on the panel. The manuscript process is now completely online. Funding the journal comes partially from the organization and from revenue generated by subscription and advertisement.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
