Inadvertent cannulation of subclavian artery in central venous catheter insertion: A case report and review of prevention and management.

IF 1.1 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Journal of Clinical Imaging Science Pub Date : 2022-06-17 eCollection Date: 2022-01-01 DOI:10.25259/JCIS_50_2022
Wai Hung Lester Shiu
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Abstract

Central venous catheter is a commonly performed procedure in which inadvertent arterial puncture is a known complication. Inadvertent arterial injury with a large-bore catheter is associated with significant morbidity and there are a few endovascular techniques to repair the injury, including the use of a percutaneous closure device and a covered stent placement. We report a case of a patient with complex medical history complicated by inadvertent right subclavian artery injury during central venous catheter insertion. The catheter was immediately removed. The right subclavian arterial injury was repaired with a stent-graft.

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中心静脉置管时锁骨下动脉漏穿1例及预防与处理回顾。
中心静脉导管是一种常见的手术,其中无意的动脉穿刺是一个已知的并发症。大口径导管造成的意外动脉损伤与显著的发病率相关,有一些血管内技术可以修复损伤,包括使用经皮闭合装置和覆盖支架置入。我们报告一例患者复杂的病史,并在中心静脉导管插入过程中不慎造成右锁骨下动脉损伤。导管立即被取出。右锁骨下动脉损伤用支架移植修复。
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来源期刊
Journal of Clinical Imaging Science
Journal of Clinical Imaging Science RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-
CiteScore
2.00
自引率
0.00%
发文量
65
期刊介绍: The Journal of Clinical Imaging Science (JCIS) is an open access peer-reviewed journal committed to publishing high-quality articles in the field of Imaging Science. The journal aims to present Imaging Science and relevant clinical information in an understandable and useful format. The journal is owned and published by the Scientific Scholar. Audience Our audience includes Radiologists, Researchers, Clinicians, medical professionals and students. Review process JCIS has a highly rigorous peer-review process that makes sure that manuscripts are scientifically accurate, relevant, novel and important. Authors disclose all conflicts, affiliations and financial associations such that the published content is not biased.
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