Saving Subclavian Arteries with Percutaneous Approach: a Solution for Catheter Misplacement

Area of Science:

• Vascular Surgery
• Critical Care Medicine
• Interventional Radiology

Background:

• Central venous catheter (CVC) misplacement into major arteries can cause severe complications.
• Vascular closure devices offer a potential solution for managing CVC-related issues in critically ill patients.

Purpose of the Study:

• To report the successful management of two cases of arterial CVC misplacement using the Perclose ProStyle® system.

Main Methods:

• Retrospective analysis of adult ICU patients between July and December 2023.
• Endovascular approach for misplaced catheter removal.
• Utilized the Perclose ProStyle® system for closure.

Main Results:

• Two patients with arterial CVC misplacement were identified and treated.
• Misplacement detected within six hours via radiography and confirmed by CTA.
• Successful catheter removal and arterial closure achieved with the Perclose ProStyle® device.

Conclusions:

• The Perclose ProStyle® system demonstrated safety and efficacy in managing arterial CVC misplacement.
• Emphasizes the need for meticulous procedural documentation during CVC insertion.
• Suggests periodic audits to improve adherence to best practices and prevent errors.