| Inadvertent subclavian artery catheter placement complicated by stroke: endovascular management and review. | |
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MedLine Citation:
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PMID: 19309701 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Babak S Jahromi; Ramachandra P Tummala; Elad I Levy |
Publication Detail:
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Type: Case Reports; Journal Article; Review |
Journal Detail:
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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:
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Created Date: 2009-03-30 Completed Date: 2009-05-28 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100884139 Medline TA: Catheter Cardiovasc Interv Country: United States |
Other Details:
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Languages: eng Pagination: 706-11 Citation Subset: IM |
Copyright Information:
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Copyright 2009 Wiley-Liss, Inc. |
Affiliation:
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Department of Neurosurgery, Millard Fillmore Gates Hospital, Kaleida Health, Buffalo, New York 14209, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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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:
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0/Anticoagulants; 9005-49-6/Heparin |
| Comments/Corrections | |
Comment In:
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Catheter Cardiovasc Interv. 2009 Apr 1;73(5):712
[PMID:
19309706
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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