Korean J Med.  2014 Aug;87(2):200-204. 10.3904/kjm.2014.87.2.200.

Percutaneous Suture-Based Closure Device for Management of Inadvertent Subclavian Artery Catheterization

• Lee SS
• Ko J
• Lim KS
• Shin B
• Lee GY
• Choi SH

• KMID: 1710031
• DOI: http://doi.org/10.3904/kjm.2014.87.2.200

Abstract

Central venous catheterization is performed to secure pathways for large amounts of saline, drug infusion, parenteral nutrition support, and hemodialysis. Accidental subclavian artery cannulation is a possible complication of central venous catheterization. Here, we report two cases of 8 Fr. chemoports inadvertently inserted in subclavian arteries during internal jugular venous catheterizations. The chemoports were removed successfully, and puncture sites were repaired using suture-based closure devices (Perclose). One patient experienced minor neurological complications after the procedure. With effective management, the patient was treated with no sequelae. To our knowledge, this is the first report of stroke after procedures using suture-based devices.

Keyword

Central venous catheterization; Subclavian artery; Perclose; Stroke

MeSH Terms

Catheterization*
Catheterization, Central Venous
Catheters*
Central Venous Catheters
Humans
Infusions, Parenteral
Methods
Punctures
Renal Dialysis
Stroke
Subclavian Artery*