Incidental subclavian artery injury during right internal jugular vein catheterization via ultrasonography

Abstract

Subclavian artery injury during central venous catheterization appears to be reported less than in actual cases. We report management of incidental subclavian artery catheterization in a 65-year-old man who has limited neck motion, undergoing emergency spine hematoma re-moval surgery. Despite the use of ultrasonography for central venous catheterization via right internal jugular vein, incidental subclavian artery injury has not been prevented. The management of incidental arterial injury during central venous catheterization is discussed, and a review of the literature is provided. To prevent injury to the right subclavian artery during right IJV catheterization, the location of adjacent blood vessels should be ascertained and not damaged. It is important to note that the damage can also occur due to ultrasonography. When right subclavian artery injury is suspected, the catheter should not be removed. Early detection of injury and early intervention may reduce morbidity and mortality.