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Late neurological deficit after attempted PICC insertion in the arm.
Antunes, Bruno Ff; Machado, Andrea Mn; Miziara, Roberta A; Liao, Adolfo W; Mendes, Cynthia A; Wolosker, Nelson; Teivelis, Marcelo P.
Afiliación
  • Antunes BF; 1 Vascular Surgery Medical Resident, Hospital Israelita Albert Einstein, São Paulo, Brazil.
  • Machado AM; 2 Obstetrics Staff, Hospital Municipal Vila Santa Catarina / Hospital Israelita Albert Einstein, São Paulo, Brazil.
  • Miziara RA; 3 Gynecology and Obstetrics Medical Resident, Hospital Israelita Albert Einstein, São Paulo, Brazil.
  • Liao AW; 4 Head of Obstetrics, Hospital Municipal Vila Santa Catarina / Hospital Israelita Albert Einstein, São Paulo, Brazil.
  • Mendes CA; 5 Vascular Surgeon, Hospital Municipal Vila Santa Catarina / Hospital Israelita Albert Einstein, São Paulo, Brazil.
  • Wolosker N; 6 Vascular Surgeon at Hospital Israelita Albert Einstein, São Paulo, Brazil.
  • Teivelis MP; 5 Vascular Surgeon, Hospital Municipal Vila Santa Catarina / Hospital Israelita Albert Einstein, São Paulo, Brazil.
J Vasc Access ; 20(2): 226-228, 2019 Mar.
Article en En | MEDLINE | ID: mdl-30073904
INTRODUCTION:: Insertion of central catheters in peripheral vessels is a common procedure performed for a variety of indications, including parenteral nutrition. Hyperemesis gravidarum may require parenteral nutrition in exceptional situations. Although globally safe, insertion of peripherally inserted central catheters (PICCs) can lead to complications. CASE REPORT:: We describe a case of a pregnant woman who required parenteral nutrition and underwent an unsuccessful PICC insertion attempt resulting in arterial puncture, and who 34 days later presented with right upper limb paresthesia. A pseudoaneurysm with nerve compression was diagnosed and treated by open surgery, without maternal or fetal complications. CONCLUSION:: We recommend active surveillance ultrasound (e.g. in the first 24-48 h) of unsuccessful PICC insertion attempts, because late complications may occur and require invasive procedures for treatment.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Arteria Braquial / Cateterismo Periférico / Nutrición Parenteral / Neuropatías del Plexo Braquial / Lesiones del Sistema Vascular / Hiperemesis Gravídica / Síndromes de Compresión Nerviosa Tipo de estudio: Diagnostic_studies / Etiology_studies Límite: Adult / Female / Humans / Pregnancy Idioma: En Revista: J Vasc Access Asunto de la revista: ANGIOLOGIA Año: 2019 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Estados Unidos
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Arteria Braquial / Cateterismo Periférico / Nutrición Parenteral / Neuropatías del Plexo Braquial / Lesiones del Sistema Vascular / Hiperemesis Gravídica / Síndromes de Compresión Nerviosa Tipo de estudio: Diagnostic_studies / Etiology_studies Límite: Adult / Female / Humans / Pregnancy Idioma: En Revista: J Vasc Access Asunto de la revista: ANGIOLOGIA Año: 2019 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Estados Unidos