Document Detail


Inadvertent subclavian artery catheter placement complicated by stroke: endovascular management and review.
MedLine Citation:
PMID:  19309701     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Removal of large-bore venous catheters misplaced within the subclavian artery risks significant hemorrhage due to the noncompressible entry site. Comorbidities in these patients often make traditional surgical approaches prohibitive. CASE DESCRIPTION: We present a case of inadvertent subclavian artery placement of a central venous catheter complicated by thromboembolic stroke, illustrate treatment with a combination of percutaneous closure and temporary balloon tamponade, and review the endovascular management of this unusual problem. CONCLUSION: Endovascular treatment of inadvertent subclavian artery catheterization appears to be a reasonable option, and its less-invasive nature may be beneficial for patients in whom the underlying disease initially required central venous access.
Authors:
Babak S Jahromi; Ramachandra P Tummala; Elad I Levy
Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions     Volume:  73     ISSN:  1522-726X     ISO Abbreviation:  Catheter Cardiovasc Interv     Publication Date:  2009 Apr 
Date Detail:
Created Date:  2009-03-30     Completed Date:  2009-05-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100884139     Medline TA:  Catheter Cardiovasc Interv     Country:  United States    
Other Details:
Languages:  eng     Pagination:  706-11     Citation Subset:  IM    
Copyright Information:
Copyright 2009 Wiley-Liss, Inc.
Affiliation:
Department of Neurosurgery, Millard Fillmore Gates Hospital, Kaleida Health, Buffalo, New York 14209, USA.
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MeSH Terms
Descriptor/Qualifier:
Angiography, Digital Subtraction
Anticoagulants / therapeutic use
Balloon Occlusion* / instrumentation
Catheterization, Central Venous / adverse effects*,  instrumentation
Catheters, Indwelling / adverse effects*
Cerebral Angiography
Device Removal
Diffusion Magnetic Resonance Imaging
Hemorrhage / etiology,  pathology,  therapy*
Hemostatic Techniques* / instrumentation
Heparin / therapeutic use
Humans
Magnetic Resonance Angiography
Male
Middle Aged
Punctures
Radiography, Interventional
Stroke / etiology*,  pathology,  therapy
Subclavian Artery / injuries*,  pathology
Thromboembolism / etiology*,  pathology,  therapy
Treatment Outcome
Chemical
Reg. No./Substance:
0/Anticoagulants; 9005-49-6/Heparin
Comments/Corrections
Comment In:
Catheter Cardiovasc Interv. 2009 Apr 1;73(5):712   [PMID:  19309706 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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