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Inadvertent subclavian artery cannulation and options for management

Albeir Y Mousa1, Shadi Abu-Halimah2, Aravinda Nanjundappa2

  • 1Robert C. Byrd Health Sciences Center, West Virginia University, Charleston, WV, USA amousa@hsc.wvu.edu.

Vascular
|May 27, 2014
PubMed

Insights

Central venous catheterization can lead to serious complications, including accidental subclavian artery puncture. This study explores endovascular treatments for this challenging issue, showcasing diverse management strategies.

Area of Science:

  • Vascular Surgery
  • Interventional Radiology
  • Cardiovascular Medicine

Background:

  • Central line placement is a common procedure with a notable risk of serious complications.
  • Inadvertent subclavian artery cannulation presents significant challenges for vascular specialists due to deep anatomical location.

Purpose of the Study:

  • To present and discuss endovascular management strategies for inadvertent subclavian artery cannulation.
  • To illustrate diverse approaches for treating this specific complication based on case studies.

Main Methods:

  • Review and analysis of three distinct cases of inadvertent subclavian artery cannulation.
  • Application of tailored endovascular techniques including covered stent, prolonged balloon inflation, and closure devices.

Main Results:

  • Successful management of inadvertent subclavian artery cannulation was achieved in all three presented cases.
  • Demonstrated the feasibility and effectiveness of different endovascular interventions based on individual patient scenarios.

Conclusions:

  • Endovascular options provide effective and tailored solutions for managing inadvertent subclavian artery cannulation.
  • The choice of intervention should be individualized to optimize outcomes for this challenging complication.

Keywords:
Subclavianangiogramballooncentral lineclosure devices

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