Background:
Carotid artery pseudoaneurysm due to accidental arterial puncture during internal jugular vein line insertion is a fatal as well as an avoidable complication if done in a proper way.
Case Presentation:
We report a case of right carotid artery pseudoaneurysm following right internal jugular vein cannulation. A 43-year gentleman, chronic kidney disease stage 5, on maintenance hemodialysis, developed a pulsatile swelling of the neck six days after a Central venous catheter placement in the right internal jugular vein, which was later diagnosed to be a pseudoaneurysm of the right common carotid artery. Surgical repair of the pseudoaneurysm was done.
Conclusions:
Arterial complications are unavoidable however good the technique of central line insertion might be. However , a correct technique along with ultrasound guidance may reduce the incidence of arterial injury and its fatal complications during central line placement.
Key words: Chronic kidney disease, Carotid artery, pseudoaneurysm, central venous line, internal jugular line, arterial puncture, central line misplacement, case report
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