Document Detail

Managing inadvertent arterial catheterization during central venous access procedures.
MedLine Citation:
PMID:  15109223     Owner:  NLM     Status:  MEDLINE    
PURPOSE: Approximately 200,000 central venous catheterizations are carried out annually in the National Health Service in the United Kingdom. Inadvertent arterial puncture occurs in up to 3.7%. Significant morbidity and death has been reported. We report on our experience in the endovascular treatment of this iatrogenic complication. METHODS: Retrospective analysis was carried out of 9 cases referred for endovascular treatment of inadvertent arterial puncture during central venous catheterization over a 5 year period. RESULTS: It was not possible to obtain accurate figures on the numbers of central venous catheterizations carried out during the time period. Five patients were referred with carotid or subclavian pseudoaneurysms and hemothorax following inadvertent arterial catheter insertion and subsequent removal. These patients all underwent percutaneous balloon tamponade and/or stent-graft insertion. More recently 4 patients were referred with the catheter still in situ and were successfully treated with a percutaneous closure device. CONCLUSION: If inadvertent arterial catheterization during central venous access procedures is recognized and catheters removed, sequelae can be treated percutaneously. However, once the complication is recognized it is better to leave the catheter in situ and seal the artery percutaneously with a closure device.
Tony Nicholson; Duncan Ettles; Graham Robinson
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Cardiovascular and interventional radiology     Volume:  27     ISSN:  0174-1551     ISO Abbreviation:  Cardiovasc Intervent Radiol     Publication Date:    2004 Jan-Feb
Date Detail:
Created Date:  2004-04-27     Completed Date:  2004-11-08     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8003538     Medline TA:  Cardiovasc Intervent Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  21-5     Citation Subset:  IM    
Department of Vascular Radiology, Hull and East Yorkshire Hospitals Trust, Anlaby Road, Hull HU3 2JZ, UK.
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MeSH Terms
Blood Vessel Prosthesis Implantation
Brachial Artery / surgery
Carotid Artery, Common / surgery
Catheterization, Central Venous / adverse effects*
Femoral Artery / surgery
Follow-Up Studies
Foreign-Body Migration / etiology*,  mortality,  surgery*
Great Britain
Intraoperative Complications / etiology*,  mortality,  surgery*
Middle Aged
Retrospective Studies
Subclavian Artery / surgery
Survival Analysis
Treatment Outcome
Vertebral Artery / surgery

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

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