Central venous related air and thrombotic embolism
Among the different types of central venous access, two are mainly recognized, the internal jugular and the subclavian. The most common complications of these invasive procedures are hematoma, vascular injury, pneumothorax, and hemothorax. This review presents two atypical complications in the central vascular approach in a patient seen in the emergency department. Complications were air and thrombotic embolisms. Physicians dealing with CVC placement (emergency department, ICU, surgical room, interventionist procedures) should be aware that VAE is an iatrogenic able to be detected with imaging methods (CTPA, magnetic resonance imaging) as strategies to minimize the risks, which even in expert hands is not exempt from the complications it can have.
Cueto-Robledo G, Roldan-Valadez E, Mendoza-Lopez AC, Palacios-Moguel P, Heredia-Arroyo AL, Torres-Lopez ID, Garcia-Cesar M, Torres-Rojas MB. Air and thrombotic venous embolism in a department of Emergency Medicine. A literature review. Curr Probl Cardiol. 2022 May 8:101248. doi: 10.1016/j.cpcardiol.2022.101248. Epub ahead of print. PMID: 35545180.