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Central venous catheterization (CVC) is commonly used for hemodynamic monitoring, rapid large-volume replacement, antibiotic administration, and hemodialysis. However, inadvertent arterial puncture or arterial placement frequently occurs during insertion of a central venous catheter (1). Iatrogenic arterial injury at a non-compressible site can lead to serious complications, including fatal hemorrhage, while the catheter is removed. This complication can be treated by traditional surgical approaches or endovascular treatment. We report a rare case of inadvertent puncture of the subclavian artery during CVC that was successfully managed with a FemoSeal (St. Jude Medical Systems, Uppsala, Sweden) closure device. This study was approved by the Institutional Review Board. The requirement for obtaining informed consent was waived because of the retrospective nature of the study.

Endovascular Repair of Inadvertent Arterial Injury Induced by Central Venous Catheterization Using a Vascular Closure Device: A Case Report