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

Eur J Emerg Med. 2009 Dec;16(6):323-6. doi: 10.1097/MEJ.0b013e32832a0851.

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.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aged
  • Angioplasty, Balloon*
  • Catheterization, Central Venous / adverse effects*
  • Female
  • Humans
  • Iatrogenic Disease
  • Renal Dialysis / methods*
  • Stents
  • Subclavian Artery / injuries*
  • Subclavian Artery / surgery