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Inadvertent subclavian artery catheter placement complicated by stroke: Endovascular management and review
Author(s) -
Jahromi Babak S.,
Tummala Ramachandra P.,
Levy Elad I.
Publication year - 2009
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.21884
Subject(s) - medicine , subclavian artery , percutaneous , tamponade , subclavian vein , surgery , stroke (engine) , balloon tamponade , balloon , catheter , radiology , mechanical engineering , engineering
Background: Removal of large‐bore venous catheters misplaced within the subclavian artery risks significant hemorrhage due to the noncompressible entry site. Comorbidities in these patients often make traditional surgical approaches prohibitive. Case Description: We present a case of inadvertent subclavian artery placement of a central venous catheter complicated by thromboembolic stroke, illustrate treatment with a combination of percutaneous closure and temporary balloon tamponade, and review the endovascular management of this unusual problem. Conclusion: Endovascular treatment of inadvertent subclavian artery catheterization appears to be a reasonable option, and its less‐invasive nature may be beneficial for patients in whom the underlying disease initially required central venous access. © 2009 Wiley‐Liss, Inc.