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Subclavian artery pseudoaneurysm complicating central venous catheterization
Author(s) -
Rossi Umberto G.,
Petrocelli Francesco,
Ferro Carlo
Publication year - 2013
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.24796
Subject(s) - medicine , pseudoaneurysm , subclavian artery , embolization , surgery , radiology , left subclavian artery , internal jugular vein , central venous catheter , subclavian vein , catheter , aneurysm , aorta , aortic arch
Central venous catheterization is a routine vascular access procedure; however, it may be associated with life‐threatening complications such as arterial puncture, leading to pseudoaneurysm formation. We report a case of a 41‐year‐old female that developed an iatrogenic left subclavian pseudoaneurysm complicating the attempt of left internal jugular vein cannulation for temporary hemodialysis therapy. The patient underwent urgent endovascular treatment with deployment of covered stent into the left subclavian artery (SCA) after embolization of the origin of the left internal mammary artery with Amplatzer Vascular Plug 4. The patient's recovery was unremarkable. Follow‐up till 24 months reveals total exclusion of the pseudoaneurysm of the left SCA with patency of the distal branches. © 2013 Wiley Periodicals, Inc.