Open AccessPercutaneous repair of iatrogenic subclavian artery injury by suture-mediated closure device
Author(s) -
Rahul Chivate,
Suyash Kulkarni,
Naren Shetty,
Ashwin Polnaya,
Kunal Gala,
Paresh G Patel
Publication year - 2016
Publication title -
indian journal of radiology and imaging - new series/indian journal of radiology and imaging/indian journal of radiology and imaging
Language(s) - English
Resource type - Journals
eISSN - 0971-3026
pISSN - 0970-2016
DOI - 10.4103/0971-3026.184425
Subject(s) - medicine , arteriotomy , percutaneous , subclavian artery , surgery , internal jugular vein , subclavian vein , fibrous joint , vascular closure device , catheter , external jugular vein , radiology , artery
Central venous catheterization through internal jugular vein is done routinely in intensive care units. It is generally safe, more so when the procedure is performed under ultrasound guidance. However, there could be inadvertent puncture of other vessels in the neck when the procedure is not performed under real-time sonographic guidance. Closure of this vessel opening can pose a challenge if it is an artery, in a location difficult to compress, and is further complicated by deranged coagulation profile. Here, we discuss the removal of an inadvertently placed catheter from subclavian artery with closure of arteriotomy percutaneously using arterial suture-mediated closure device.