Accidental carotid artery cannulation during internal jugular vein access for hemodialysis

Abstract

Temporary central venous catheters are frequently used for vascular access in patients who require renal replacement therapy. The right internal jugular vein is the preferred central vein in such occasions. Accidental cannulation of the carotid artery is a potential complication of catheter placement in the internal jugular vein. This can lead to serious consequences such as stroke, life threatening hemorrhage and airway obstruction. Surgical removal is the management option of choice if a catheter is inadvertently placed in the carotid artery.