42 research outputs found
A simple method of closing an iatrogenic subclavian arterial puncture
Central venous catheters are the mainstay in the intensive management
of surgical patients today and they have increasingly been applied in
different medical specialties and for different clinical indications.
It is generally safe to place central venous catheters using anatomic
landmarks alone, but there are some possible immediate, early, and late
complications related to the implantation technique. One particularly
dangerous vascular complication is inadvertent arterial sheath
placement. When this occurs in a site that is anatomically
non-compressible, sheath removal can necessitate surgery or exposure to
a significant risk of haemorrhage with manual pressure. We report a
case of a sheath that was inadvertently placed in the subclavian artery
and was successfully removed using a percutaneous vascular closure
device
Case Report - A simple method of closing an iatrogenic subclavian arterial puncture
Central venous catheters are the mainstay in the intensive management
of surgical patients today and they have increasingly been applied in
different medical specialties and for different clinical indications.
It is generally safe to place central venous catheters using anatomic
landmarks alone, but there are some possible immediate, early, and late
complications related to the implantation technique. One particularly
dangerous vascular complication is inadvertent arterial sheath
placement. When this occurs in a site that is anatomically
non-compressible, sheath removal can necessitate surgery or exposure to
a significant risk of haemorrhage with manual pressure. We report a
case of a sheath that was inadvertently placed in the subclavian artery
and was successfully removed using a percutaneous vascular closure
device