{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T23:37:51Z","timestamp":1777937871189,"version":"3.51.4"},"reference-count":15,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,11,5]]},"abstract":"<jats:p>There are many complications of central venous catheter insertion. Iatrogenic injury of the vertebral artery is a rare complication that can result in severe morbidity and mortality. The case presented describes the complication of an acute ischaemic stroke after cannulation of the vertebral artery. There are various techniques when obtaining central access, however the best practice as described by the evidence based guidelines produced by the American Society of Anesthesiologists utilises real-time ultrasound guidance to minimise adverse events.<\/jats:p>","DOI":"10.1136\/bcr-2017-222429","type":"journal-article","created":{"date-parts":[[2017,11,22]],"date-time":"2017-11-22T07:20:13Z","timestamp":1511335213000},"page":"bcr-2017-222429","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Iatrogenic injury of vertebral artery resulting in stroke after central venous line insertion"],"prefix":"10.1136","volume":"2017","author":[{"given":"Vindya","family":"Abeysinghe","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jie Hua","family":"Xu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kishore","family":"Sieunarine","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,11,21]]},"reference":[{"key":"2025042713062814000_2017.nov21_1.bcr-2017-222429.1","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0b013e31823c9569"},{"key":"2025042713062814000_2017.nov21_1.bcr-2017-222429.2","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1213\/ANE.0b013e3182407cd8","article-title":"Special articles: guidelines for performing ultrasound guided vascular cannulation: recommendations of the American Society of Echocardiography and the Society Of Cardiovascular Anesthesiologists","volume":"114","author":"Troianos","year":"2012","journal-title":"Anesth Analg"},{"key":"2025042713062814000_2017.nov21_1.bcr-2017-222429.3","first-page":"240","article-title":"Vertebral artery thrombosis and subsequent stroke following attempted internal jugular central venous catheterization","volume":"25","author":"Van Vrancken","year":"2012","journal-title":"Proc"},{"key":"2025042713062814000_2017.nov21_1.bcr-2017-222429.4","doi-asserted-by":"publisher","DOI":"10.1097\/00003246-200202000-00031"},{"key":"2025042713062814000_2017.nov21_1.bcr-2017-222429.5","first-page":"96","article-title":"Iatrogenic vertebral artery pseudoaneurysm due to central venous catheterization","volume":"24","author":"Momiy","year":"2011","journal-title":"Proc"},{"key":"2025042713062814000_2017.nov21_1.bcr-2017-222429.6","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2008.04.046"},{"key":"2025042713062814000_2017.nov21_1.bcr-2017-222429.7","doi-asserted-by":"crossref","unstructured":"Riebau D , Selph J , Jarquin-Valdivia A . Acute Ischemic Strokes after Central Line Placement. The Internet Journal of Emergency and Intensive Care Medicine 2004;8.","DOI":"10.5580\/1868"},{"key":"2025042713062814000_2017.nov21_1.bcr-2017-222429.8","doi-asserted-by":"crossref","first-page":"1092","DOI":"10.1212\/WNL.41.7.1092","article-title":"Fatal brainstem stroke following internal jugular vein catheterization","volume":"41","author":"Sloan","year":"1991","journal-title":"Neurology"},{"key":"2025042713062814000_2017.nov21_1.bcr-2017-222429.9","doi-asserted-by":"crossref","first-page":"296","DOI":"10.1213\/00000539-199208000-00027","article-title":"Vertebral artery pseudoaneurysm: a rare complication of internal jugular vein catheterization","volume":"75","author":"Aoki","year":"1992","journal-title":"Anesth Analg"},{"key":"2025042713062814000_2017.nov21_1.bcr-2017-222429.10","doi-asserted-by":"crossref","first-page":"63","DOI":"10.4103\/0973-6042.76963","article-title":"Applied sonoanatomy of the posterior triangle of the neck","volume":"4","author":"Ihnatsenka","year":"2010","journal-title":"Int J Shoulder Surg"},{"key":"2025042713062814000_2017.nov21_1.bcr-2017-222429.11","doi-asserted-by":"crossref","first-page":"27","DOI":"10.2147\/RMHP.S10383","article-title":"Anatomic considerations for central venous cannulation","volume":"4","author":"Bannon","year":"2011","journal-title":"Risk Manag Healthc Policy"},{"key":"2025042713062814000_2017.nov21_1.bcr-2017-222429.12","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1177\/096721099400200314","article-title":"Vertebral arteriovenous fistulas: a study of 49 cases and review of the literature","volume":"2","author":"Vinchon","year":"1994","journal-title":"Cardiovasc Surg"},{"key":"2025042713062814000_2017.nov21_1.bcr-2017-222429.13","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0404.2005.00497.x"},{"key":"2025042713062814000_2017.nov21_1.bcr-2017-222429.14","doi-asserted-by":"publisher","DOI":"10.1177\/1538574412469282"},{"key":"2025042713062814000_2017.nov21_1.bcr-2017-222429.15","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-012-2597-x"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2017-222429","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T20:06:35Z","timestamp":1745784395000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2017-222429"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,11,21]]},"references-count":15,"alternative-id":["10.1136\/bcr-2017-222429"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2017-222429","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,11,21]]}}}