Faculty Collaboration Database

Endovascular treatment of inadvertent cannulation of the vertebro-subclavian arterial junction. Neurocrit Care 2007;6(2):113-6

Date

05/25/2007

Pubmed ID

17522794

DOI

10.1007/s12028-007-0016-x

Scopus ID

2-s2.0-34250648852 (requires institutional sign-in at Scopus site)   16 Citations

Abstract

INTRODUCTION: Inadvertent arterial cannulation at a noncompressible site is a highly risky complication of central venous line placement.

SUMMARY OF CASE: We present a case of inadvertent placement of a 6-French venous sheath into the right subclavian artery (SCA) at the origin of the vertebral artery (VA), which was treated successfully using endovascular therapy.

RESULTS: Due to the complex site of cannulation, and the patient being fully anticoagulated, the use of a percutaneous closure device was not attempted. Open vascular surgery was not a treatment option due to high surgical risk. After determining left VA dominance, the right VA was occluded distal to the catheter entry point with platinum coils. Subsequently, a covered stent was placed into the SCA across the origin of the VA. The sheath was then removed safely without complications. A minor leak was initially present, which was stopped by repeating balloon inflation within the stent above nominal pressure.

Author List

Wolfe TJ, Smith TP, Alexander MJ, Zaidat OO

MESH terms used to index this publication - Major topics in bold

Adult
Angioplasty
Catheterization, Central Venous
Embolization, Therapeutic
Humans
Male
Medical Errors
Stents
Subclavian Artery
Vertebral Artery
Wounds, Penetrating