Simple balloon occlusion to seal sub artery peroration - Case by Dr MV Reddy
Internal jugular vein catheterization is a common practice in the intensive care unit and in operative room , for transfusion of medication, fluids, peri and postoperative CVP monitoring and management.However many complications associated with IJV catheterization have been reported such as adjoining vessels injury,pnemothorax and subclavian artery puncture which sometimes may be life threatening.
Since large size graft stent was not avilable immediate balloon occlusion with8 x40mm peripheral balloon for 30 mints each inflation just distal to RT ICA after confirming innomimate artery angio through left femoral artery. bleedding stopped after 4 inflations.Check angiography of rt arm shows complete sealing of perforation and low flow to distal vessels which was due to vasospasm was dealed with intrarterial infusion of nicorandil. patient improved clinically and TPI was removed and patient was switched over to clopidrogrel along with aspirin and patient was discharged after 4 days.
The author, Dr MV Reddy is an Interventional Cardiologist and the Additional Chief Health Director: Western railways, Mumbai working Jagjivanram Railway hospital, Mumbai. He is presenting on the topic Simple balloon occlusion to seal sub artery peroration at Indialive 2018