Document Detail

Iatrogenic subclavian artery pseudoaneurysm causing airway compromise: treatment with percutaneous thrombin injection.
MedLine Citation:
PMID:  15297836     Owner:  NLM     Status:  MEDLINE    
Central venous cannulation is an increasingly common diagnostic and therapeutic procedure in modern medical practise. Inadvertent iatrogenic injury to an adjacent major artery during attempted central venous cannulation is an uncommon but potentially lethal complication. If injury leads to pseudoaneurysm formation, complications may arise from mass effect, embolism, or even rupture with continued hemorrhage. Traditional surgical repair of these lesions is often difficult, especially if access within the thorax is required in patients at high risk. We present a case report of successful management of a large subclavian artery pseudoaneurysm with the new approach of percutaneous thrombin injection.
Rakesh Jeganathan; Denis W Harkin; Patrick Lowry; Bernard Lee
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of vascular surgery     Volume:  40     ISSN:  0741-5214     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  2004 Aug 
Date Detail:
Created Date:  2004-08-06     Completed Date:  2004-09-28     Revised Date:  2012-10-03    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  371-4     Citation Subset:  IM    
Vascular Surgery Unit, Belfast City Hospital, Northern, Ireland.
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MeSH Terms
Airway Obstruction / etiology*
Aneurysm, False / drug therapy,  etiology*
Catheterization, Central Venous / adverse effects*
Hemostatics / administration & dosage
Hypotension / etiology
Iatrogenic Disease
Injections, Intra-Arterial
Renal Dialysis / instrumentation
Subclavian Artery*
Thrombin / administration & dosage
Treatment Outcome
Reg. No./Substance:
0/Hemostatics; EC

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