{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T03:31:41Z","timestamp":1761708701530,"version":"3.40.4"},"reference-count":19,"publisher":"S. Karger AG","issue":"6","license":[{"start":{"date-parts":[[2011,1,1]],"date-time":"2011-01-01T00:00:00Z","timestamp":1293840000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2011,1,1]],"date-time":"2011-01-01T00:00:00Z","timestamp":1293840000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Med Princ Pract"],"published-print":{"date-parts":[[2011]]},"abstract":"<jats:p>&lt;i&gt;Objective:&lt;\/i&gt; The relationship between certain risk factors and carotid artery puncture (CAP) as an early mechanical complication following internal jugular vein cannulation attempts (IJVCAs) was evaluated. &lt;i&gt;Methods:&lt;\/i&gt; In a retrospective 1-year observational single-center study, 86 IJVCAs conducted in the operating room by 4 competent anesthesiologists were evaluated. Age, gender, puncture side, number of cannulation attempts, circumstances of the procedure and incidence of CAP were obtained from medical records. &lt;i&gt;Results:&lt;\/i&gt; Of the 86 IJVCAs performed in patients aged 18\u201375 years, CAP occurred in 8 (9.3%): 5 (5.8%) in patients &gt;65 years and 3 (3.5%) in patients &lt;65 years of age. CAP was not associated with patient\u2019s age (p = 0.11) and gender (p = 0.76). Multiple cannulation attempts (OR = 26.25; 95% CI = 4.52\u2013152.51; p &lt; 0.001) and placement of CVC under emergency conditions (OR = 14.84; 95% CI = 1.73\u2013127.22; p = 0.014) increased the risk for CAP significantly. Also, the risk for CAP was higher when IJVCAs were performed before induction of general anesthesia (OR = 15.75; 95% CI = 1.83\u2013135.1; p = 0.019). CAP was more likely to happen during left-sided than right-sided IJVCA (OR = 5.98; 95% CI = 1.29\u201327.59; p = 0.022). In addition, left-sided attempts considerably increased the risk for multiple cannulation attempts (OR = 2.782; 95% CI = 1.342\u20133.965; p &lt; 0.01). Also, manifold cannulation attempts were more frequent if the IJVCA was performed before induction of anesthesia (OR = 4.219; CI = 1.579\u201311.271; p = 0.004). &lt;i&gt;Conclusions:&lt;\/i&gt; Our results strongly suggest that left-sided, multiple IJVCAs, performed under emergency conditions in conscious patients in the operating room, represent considerable risks for possible CAP.<\/jats:p>","DOI":"10.1159\/000329788","type":"journal-article","created":{"date-parts":[[2011,10,5]],"date-time":"2011-10-05T07:05:15Z","timestamp":1317798315000},"page":"562-566","source":"Crossref","is-referenced-by-count":5,"title":["Risk Factors Associated with Carotid Artery Puncture following Landmark-Guided Internal Jugular Vein Cannulation Attempts"],"prefix":"10.1159","volume":"20","author":[{"given":"Radmilo J.","family":"Jankovic","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marija S.","family":"Pavlovic","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miodrag M.","family":"Stojanovic","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Biljana S.","family":"Stosic","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dragan J.","family":"Milic","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nebojsa S.","family":"Ignjatovic","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angelina N.","family":"Bogicevic","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dragana R.","family":"Djordjevic","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nenad N.","family":"Savic","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2011,10,4]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1056%2FNEJMra011883"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1111%2Fj.1553-2712.2002.tb02168.x"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1053%2Fjcan.2002.126950"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1186%2Fcc5101"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1097%2F00003246-199112000-00013"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1097%2F00003246-200202000-00031"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1056%2FNEJM199412293312602"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1213%2F01.ane.0000202467.10465.12"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1007%2Fs00134-002-1364-9"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1007%2Fs00134-007-0560-z"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1016%2FS0952-8180%2800%2900129-X"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1111%2Fj.1553-2712.2001.tb01292.x"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1097%2F00003246-198009000-00004"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1111%2Fj.1553-2712.2010.00886.x"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1016%2Fj.ajem.2009.02.003"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.3109%2F08941930903469342"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1016%2Fj.jemermed.2007.04.022"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1097%2F00000542-199607000-00007"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1177%2F0885066605280884"}],"container-title":["Medical Principles and Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/329788","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/329788","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T18:23:04Z","timestamp":1745432584000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000329788"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011]]},"references-count":19,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2011,10,1]]},"published-print":{"date-parts":[[2011,10,5]]}},"URL":"https:\/\/doi.org\/10.1159\/000329788","archive":["Portico"],"relation":{},"ISSN":["1011-7571","1423-0151"],"issn-type":[{"type":"print","value":"1011-7571"},{"type":"electronic","value":"1423-0151"}],"subject":[],"published":{"date-parts":[[2011]]}}}