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Instituto Nacional de Neurología y Neurocirugía

2015, Número 1

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Arch Neurocien 2015; 20 (1)


Hemotórax masivo secundario a colocación de catéter venoso central vía yugular interna

González-Villavelázquez ML, Negrete-Anducho J, Gutiérrez-Gutiérrez A

Idioma: Español
Referencias bibliográficas: 29
Paginas: 89-94
Archivo PDF: 411.52 Kb.


RESUMEN

Las lesiones vasculares durante la inserción de un catéter venoso central presentan un amplio espectro de complicaciones, siendo la punción arterial la más común; se presenta con frecuencia con el acceso yugular interno y femoral con el subclavio; a pesar de que esta complicación es por lo general autolimitada, no deberá ser descartada como intrascendente, ya que puede dar lugar a una elevada morbilidad y mortalidad, incluso si la aguja de punción es de un calibre relativamente pequeño o el catéter está colocado correctamente en la ubicación venosa prevista. Objetivo: dar a conocer caso clínico de una paciente con una lesión vascular severa secundaria a colocación de un catéter venoso central vía yugular interna derecha y revisión de la literatura. Reporte de caso: se trata de paciente femenino de 46 años con diagnóstico de epilepsia de difícil control, programada para neurocirugía funcional. En quirófano y bajo anestesia general se intenta el acceso central por vía yugular interna derecha presentando hemotórax derecho masivo que la llevo a toracotomía y reparación vascular, saliendo a la unidad de terapia intensiva neurológica en estado grave.


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