An alternative catheter to invasive blood pressure monitoring in a patient with Takayasu arteritis undergoing open adrenalectomy: A case report.
Continuous invasive blood pressure monitoring is crucial during the perioperative period, particularly in high-risk and critically ill patients. In patients with Takayasu arteritis (TAK) and severe vascular stenosis, conventional arterial cannulation is often technically challenging because of vessel occlusion or fragile tissue. This case report explores the feasibility of using a central venous catheter instead of an arterial puncture kit for invasive blood pressure monitoring when standard arterial catheterization is impractical.
A 56-year-old female with a history of TAK presented for adrenalectomy.
Medical imaging revealed an adrenal tumor and TAK with multi-territorial vascular involvement (radial, brachial, and dorsalis pedis arteries).
The patient underwent adrenal tumor resection. Continuous invasive blood pressure was monitored under ultrasound guidance using an 18-gauge central venous catheter for femoral artery puncture.
The procedure was completed uneventfully with timely hemodynamic monitoring guided by reliable invasive measurements.
This alternative method has the potential to reduce the risk of intraoperative catheterization and ensure reliable intraoperative blood pressure monitoring when conventional puncture is impossible.
A 56-year-old female with a history of TAK presented for adrenalectomy.
Medical imaging revealed an adrenal tumor and TAK with multi-territorial vascular involvement (radial, brachial, and dorsalis pedis arteries).
The patient underwent adrenal tumor resection. Continuous invasive blood pressure was monitored under ultrasound guidance using an 18-gauge central venous catheter for femoral artery puncture.
The procedure was completed uneventfully with timely hemodynamic monitoring guided by reliable invasive measurements.
This alternative method has the potential to reduce the risk of intraoperative catheterization and ensure reliable intraoperative blood pressure monitoring when conventional puncture is impossible.