Korean Circ J.  2016 Jul;46(4):584-587. 10.4070/kcj.2016.46.4.584.

Endovascular Repair Using Suture-Mediated Closure Devices and Balloon Tamponade following Inadvertent Subclavian Artery Catheterization with Large-Caliber Hemodialysis Catheter

Affiliations
  • 1Division of Cardiology, Heart Vascular Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. cardiochoi@skku.edu

Abstract

Accidental subclavian artery cannulation is an uncommon but potentially serious complication of central venous catheterization. Removal of a catheter inadvertently placed in the subclavian artery can lead to substantial bleeding, as achieving hemostasis in this area through manual compression presents considerable difficulty. Additionally, surgical treatment might be unsuitable for high-risk patients due to comorbidities. Here, we report a case of an inadvertently-inserted 11.5-French hemodialysis catheter in the subclavian artery during internal jugular venous catheterization. We performed percutaneous closure of the subclavian artery using three 6-French Perclose Proglide® devices with a balloon tamponade in the proximal part of the subclavian artery. Closure was completed without embolic neurological complications.

Keyword

Central venous catheterization; Hemodialysis; Complications; Vascular closure device

MeSH Terms

Balloon Occlusion*
Catheterization*
Catheterization, Central Venous
Catheters*
Central Venous Catheters
Comorbidity
Hemorrhage
Hemostasis
Humans
Renal Dialysis*
Subclavian Artery*
Vascular Closure Devices
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