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

Catarina Pacheco1, João Peixoto2, Joana Cepeda2

  • 1Serviço de Medicina Intensiva Polivalente, Unidade de Saúde Local Gaia/Espinho.

Portuguese Journal of Cardiac Thoracic and Vascular Surgery
|February 20, 2026
PubMed

Insights

Misplaced central venous catheters (CVCs) in arteries were successfully managed using the Perclose ProStyle® system. This highlights the device’s safety and effectiveness for CVC misplacement complications.

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.
Abstract

Keywords:
arterial iatrogenic injuriescentral venous catheterizationcritical carevascular closure devices

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