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Endovascular repair of inadvertent subclavian artery perforation during cannulation for dialysis access: case report and review of the literature.

TitleEndovascular repair of inadvertent subclavian artery perforation during cannulation for dialysis access: case report and review of the literature.
Publication TypeJournal Article
Year of Publication2009
AuthorsMelas, N., Saratzis A., Saratzis N., & Kiskinis D.
JournalEur J Emerg Med
Volume16
Issue6
Pagination323-6
Date Published2009 Dec
ISSN1473-5695
KeywordsAged, 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.

DOI10.1097/MEJ.0b013e32832a0851
Alternate JournalEur J Emerg Med
PubMed ID19318956

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