{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T13:22:34Z","timestamp":1762867354223},"reference-count":26,"publisher":"Scientific Scholar","issue":"01","license":[{"start":{"date-parts":[[2019,9,2]],"date-time":"2019-09-02T00:00:00Z","timestamp":1567382400000},"content-version":"vor","delay-in-days":609,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Neurosciences in Rural Practice"],"published-print":{"date-parts":[[2018,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>Central venous catheter (CVC) insertion is extensively utilized in Intensive Care Units for evaluation of hemodynamic status, administration of intravenous drugs, and for providing nutritional support in critically ill patients. Unfortunately, CVC use is associated with complications including lung injury, bleeding, infection, and thrombosis. We present a patient with an acute ischemic stroke from an inadvertently placed CVC into the right common carotid artery. A 57-year-old male presented to our institution for left hemiplegia and seizures 2 days after a CVC was placed. He was found to have a right frontal ischemic stroke on computed tomography (CT). CT angiography noted that the catheter was arterial and had a thrombosis around it. He was started on a low-dose heparin infusion. A combination of cardiothoracic surgery and interventional cardiology was required to safely remove the catheter. Central arterial catheterization is an unusual cause for acute ischemic stroke and presents management challenges.<\/jats:p>","DOI":"10.4103\/jnrp.jnrp_460_17","type":"journal-article","created":{"date-parts":[[2018,1,19]],"date-time":"2018-01-19T09:40:49Z","timestamp":1516354849000},"page":"155-158","source":"Crossref","is-referenced-by-count":8,"title":["Inadvertent Central Arterial Catheterization: An Unusual Cause of Ischemic Stroke"],"prefix":"10.25259","volume":"09","author":[{"given":"Nakul","family":"Katyal","sequence":"additional","affiliation":[{"name":"Departments of Neurology and University of Missouri, Columbia 63511, MO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amanda","family":"Korzep","sequence":"additional","affiliation":[{"name":"Departments of Emergency Medicine, University of Missouri, Columbia 63511, MO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher","family":"Newey","sequence":"additional","affiliation":[{"name":"Departments of Neurology and University of Missouri, Columbia 63511, MO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2019,9,2]]},"reference":[{"key":"key-10.4103\/0976-3147.223522-1","first-page":"186","volume-title":"Central venous line and acute neurological deficit: A case series","author":"Ahmadi","year":"2014","journal-title":"J Tehran Heart Cent"},{"key":"key-10.4103\/0976-3147.223522-2","first-page":"885","volume-title":"Paradoxical emboli after central venous catheter removal","author":"Zuha","year":"2000","journal-title":"Ann Oncol"},{"key":"key-10.4103\/0976-3147.223522-3","first-page":"71","volume-title":"Thrombosis: The major Hickman catheter complication in patients with solid tumor","author":"Anderson","year":"1989","journal-title":"Chest"},{"key":"key-10.4103\/0976-3147.223522-4","first-page":"303","volume-title":"Venous access: A prospective, randomized study of the Hickman catheter","author":"Wagman","year":"1984","journal-title":"Surgery"},{"key":"key-10.4103\/0976-3147.223522-5","first-page":"358","volume-title":"Vascular complications of central venous catheter placement: Evidence-based methods for prevention and treatment","author":"Bowdle","year":"2014","journal-title":"J Cardiothorac Vasc Anesth"},{"key":"key-10.4103\/0976-3147.223522-6","first-page":"188","volume-title":"Complications of catheters: Tunneled and nontunneled","author":"Vats","year":"2012","journal-title":"Adv Chronic Kidney Dis"},{"key":"key-10.4103\/0976-3147.223522-7","first-page":"170","volume-title":"Central line complications","author":"Kornbau","year":"2015","journal-title":"Int J Crit Illn Inj Sci","ISSN":"http:\/\/id.crossref.org\/issn\/2229-5151","issn-type":"print"},{"key":"key-10.4103\/0976-3147.223522-8","first-page":"253","volume-title":"Cerebral infarction complicating subclavian vein catheterization","author":"Hurwitz","year":"1977","journal-title":"Ann Neurol"},{"key":"key-10.4103\/0976-3147.223522-9","first-page":"823","volume-title":"Ultrasound-guided cannulation of the internal jugular vein.A prospective, randomized study","author":"Troianos","year":"1991","journal-title":"Anesth Analg"},{"key":"key-10.4103\/0976-3147.223522-10","first-page":"2053","volume-title":"Ultrasound guidance for placement of central venous catheters: A meta-analysis of the literature","author":"Randolph","year":"1996","journal-title":"Crit Care Med"},{"key":"key-10.4103\/0976-3147.223522-11","first-page":"361","volume-title":"Ultrasonic locating devices for central venous cannulation: Meta-analysis","author":"Hind","year":"2003","journal-title":"BMJ"},{"key":"key-10.4103\/0976-3147.223522-12","first-page":"2030","volume-title":"Pressure waveform monitoring during central venous catheterization","author":"Bowdle","year":"2009","journal-title":"Anesth Analg"},{"key":"key-10.4103\/0976-3147.223522-13","first-page":"235","volume-title":"Stroke after internal jugular venous cannulation","author":"Reuber","year":"2002","journal-title":"Acta Neurol Scand"},{"key":"key-10.4103\/0976-3147.223522-14","first-page":"1498","volume-title":"Ultrasound-guided subclavian vein catheterization: A systematic review and meta-analysis","author":"Lalu","year":"2015","journal-title":"Crit Care Med"},{"key":"key-10.4103\/0976-3147.223522-15","unstructured":"Xu F, Zhang L. Landmark-guided subclavian vein catheterization by palpating the subclavian artery. 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