Related Experiment Video
Updated: Jun 28, 2026
06:10
Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
Published on: June 12, 2021
Endovascular Rescue After Jugular Vein Catheter Complications: A Case Report
Akehu Alemasi1, Genhuan Yang2, Xia Ding1
1Department of Nephrology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
The American Journal of Case Reports
|March 3, 2026
Summary
Internal jugular vein catheterization for dialysis can lead to rare arterial misplacement. An endovascular suture device offers a minimally invasive solution for managing this serious complication, avoiding open surgery.
Area of Science:
- Vascular Surgery
- Interventional Nephrology
- Medical Device Technology
Background:
- Internal jugular vein catheterization is crucial for hemodialysis but carries risks, including rare but severe arterial misplacement.
- Despite ultrasound guidance, anatomical and patient factors can lead to complications like subclavian artery cannulation.
- Iatrogenic arterial injuries during central venous catheterization pose significant risks.
Purpose of the Study:
- To report a case of inadvertent subclavian artery cannulation during internal jugular vein catheterization for hemodialysis.
- To demonstrate the successful management of this complication using an endovascular suture device.
- To highlight the utility of endovascular closure for iatrogenic arterial injuries in high-risk patients.
Main Methods:
- A case report of a 64-year-old male undergoing urgent hemodialysis.
- Ultrasound-guided internal jugular vein catheterization with a 12.5-Fr dual-lumen catheter.
- Management of inadvertent subclavian artery cannulation using an endovascular suture device in a hybrid operating room.
- Computed tomography angiography for confirming catheter course and assessing injury.
Main Results:
- The catheter sheath inadvertently entered the right subclavian artery and advanced to the aortic arch.
- Endovascular suture device successfully achieved hemostasis without further venous injury or need for open surgery.
- The patient resumed dialysis via femoral access and was discharged without complications; no impaired intracranial blood flow was noted.
Conclusions:
- Real-time ultrasound guidance does not eliminate the risk of catheter misplacement during internal jugular vein cannulation.
- Endovascular suture devices provide a rapid, minimally invasive option for managing inadvertent arterial cannulation.
- Endovascular closure should be considered for iatrogenic arterial injuries, especially in patients unsuitable for major surgery.
