Endovascular repair of inadvertent subclavian artery perforation during cannulation for dialysis access: case report and review of the literature.
Title | Endovascular repair of inadvertent subclavian artery perforation during cannulation for dialysis access: case report and review of the literature. |
Publication Type | Journal Article |
Year of Publication | 2009 |
Authors | Melas, N., Saratzis A., Saratzis N., & Kiskinis D. |
Journal | Eur J Emerg Med |
Volume | 16 |
Issue | 6 |
Pagination | 323-6 |
Date Published | 2009 Dec |
ISSN | 1473-5695 |
Keywords | Aged, Angioplasty, Balloon, Catheterization, Central Venous, Female, Humans, Iatrogenic Disease, Renal Dialysis, Stents, Subclavian Artery |
Abstract | Central venous catheterization is a routine vascular-access procedure; however, it may be associated with life-threatening complications such as arterial puncture, leading to arterial occlusion, embolism, pseudoaneurysm formation, vessel laceration or dissection, haemopneumothorax or massive haemorrhage. We report a case of an accidental subclavian artery perforation with a wide dialysis catheter. A Jostent endovascular covered stent was deployed to seal the deficit. The specific device can easily conform to the anatomical configuration of most peripheral vessels, constituting a good alternative to open repair in cases of accidental vessel puncture. |
DOI | 10.1097/MEJ.0b013e32832a0851 |
Alternate Journal | Eur J Emerg Med |
PubMed ID | 19318956 |