Open AccessCovered Stenting as Bail-Out Technique for Central Venous Catheter Malposition Within the Brachiocephalic Trunk
Author(s) -
Faraj Joseph,
Choudhary Anwar,
Ritter Jens C.
Publication year - 2020
Publication title -
vascular and endovascular surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.46
H-Index - 45
eISSN - 1938-9116
pISSN - 1538-5744
DOI - 10.1177/1538574419873175
Subject(s) - medicine , brachiocephalic vein , brachiocephalic artery , common carotid artery , subclavian artery , central venous catheter , catheter , surgery , trunk , embolization , carotid stenting , radiology , carotid arteries , aortic arch , carotid endarterectomy , superior vena cava , aorta , ecology , biology
Central venous catheter (CVC) insertion with ultrasound guidance is routine clinical practice in the critically ill patient. Arterial malposition is serious and may lead to severe complications such as hemorrhage, stroke, or death. We describe a bail-out technique for removal of right-sided CVC that was mispositioned into the brachiocephalic trunk (BCT) at the origin of the right common carotid artery (CCA). Covered stenting of the BCT extending into the CCA in combination with plug embolization of the right subclavian artery was utilized.
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