Percutaneous closure after inadvertent subclavian artery cannulation

被引：33
作者：
Shetty, Sharad V.
Kwolek, Christopher J.
Garasic, Joseph M.
机构：
[1] Massachusetts Gen Hosp, Div Cardiol, Boston, MA 02114 USA
[2] Harvard Univ, Sch Med, Boston, MA 02115 USA
[3] Massachusetts Gen Hosp, Div Vasc & Endovasc Surg, Boston, MA 02114 USA
来源：
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS | 2007年 / 69卷 / 07期
关键词：
central venous catheterization; complications; angioseal;
D O I：
10.1002/ccd.21143
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Accidental insertion of an arterial sheath is an uncommon but potentially serious complication of jugular venous catheterization. When the subclavian artery is inadvertently cannulated, sheath removal can be complicated by significant hemorrhage due to its incompressible location. We report a case of inadvertent insertion of an 8 French sheath into the subclavian artery, which was successfully removed and the puncture site sealed with a collagen-based vascular closure device (Angio-Seal STS Plus). This averted an otherwise emergent open surgical procedure to remove the sheath and repair the subclavian artery in a high-risk patient. (C) 2007 Wiley-Liss, Inc.
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收藏
页码：1050 / 1052
页数：3
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