Abstract
A 41-year-old woman, status postmastectomy for breast cancer had an attempted 8-F left subclavian vein chemotherapy port placed in her. She developed severe upper back pain radiating to the left shoulder. A computed tomographic scan and angiography revealed catheter placement in the left subclavian artery and a type B aortic dissection. A thoracic stent-graft was used to treat the aortic dissection. While removing the catheter, a covered stent was deployed to seal the arterial puncture and a balloon-expandable stent was placed over a persistent subclavian dissection. This case illustrates an example of the feasibility of endovascular management to treat serious iatrogenic access complications.
Copyright © 2011. Published by Elsevier Inc.
MeSH terms
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Adult
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Antineoplastic Agents / administration & dosage
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Aortic Aneurysm / diagnostic imaging
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Aortic Aneurysm / etiology
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Aortic Aneurysm / surgery*
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Aortic Dissection / diagnostic imaging
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Aortic Dissection / etiology
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Aortic Dissection / surgery*
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Aortography
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Back Pain / etiology
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Blood Vessel Prosthesis Implantation*
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Breast Neoplasms / drug therapy
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Breast Neoplasms / surgery
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Catheterization, Central Venous / adverse effects*
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Chemotherapy, Adjuvant
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Endovascular Procedures*
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Female
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Humans
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Iatrogenic Disease
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Mastectomy
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Phlebography
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Subclavian Artery / diagnostic imaging
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Subclavian Artery / injuries
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Subclavian Artery / surgery*
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Subclavian Vein / diagnostic imaging
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Tomography, X-Ray Computed
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Treatment Outcome
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Vascular System Injuries / diagnostic imaging
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Vascular System Injuries / etiology
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Vascular System Injuries / surgery*