European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery
-
Eur J Vasc Endovasc Surg · Dec 2009
Management of inadvertent arterial catheterisation associated with central venous access procedures.
This study aims to describe the clinical management of inadvertent arterial catheterisation after attempted central venous catheterisation. ⋯ Inadvertent arterial catheterisation during central venous cannulation is associated with obesity, emergency puncture and lack of ultrasonic guidance and should be suspected on retrograde/pulsatile catheter flow or local haematoma. If arterial catheterisation is recognised, the catheter should be left in place and the patient be referred for percutaneous/endovascular or surgical management.