Catheterization and Cardiovascular Interventions

E-ONLY: Peripheral Vascular Disease

Subclavian artery pseudoaneurysm complicating central venous catheterization

Endovascular treatment with amplatzer vascular plug 4 and covered stent

Corresponding Author

Umberto G. Rossi MD

Department of Radiology and Interventional Radiology, IRCCS San Martino University Hospital – IST – National Institute for Cancer Research, Largo Rosanna Benzi 10, 16132 Genova, Italy

Correspondence to: Umberto G. Rossi, MD, Prof, EBIR, Department of Radiology and Interventional Radiology, IRCCS San Martino University Hospital – IST – National Institute for Cancer Research, Largo Rosanna Benzi 10, 16132 Genova, Italy. E-mail: [email protected]Search for more papers by this author

Francesco Petrocelli MD,

Francesco Petrocelli MD

Department of Radiology and Interventional Radiology, IRCCS San Martino University Hospital – IST – National Institute for Cancer Research, Largo Rosanna Benzi 10, 16132 Genova, Italy

Search for more papers by this author

Carlo Ferro MD,

Carlo Ferro MD

Department of Radiology and Interventional Radiology, IRCCS San Martino University Hospital – IST – National Institute for Cancer Research, Largo Rosanna Benzi 10, 16132 Genova, Italy

Search for more papers by this author

Umberto G. Rossi MD,

Corresponding Author

Umberto G. Rossi MD

Department of Radiology and Interventional Radiology, IRCCS San Martino University Hospital – IST – National Institute for Cancer Research, Largo Rosanna Benzi 10, 16132 Genova, Italy

Francesco Petrocelli MD,

Francesco Petrocelli MD

Department of Radiology and Interventional Radiology, IRCCS San Martino University Hospital – IST – National Institute for Cancer Research, Largo Rosanna Benzi 10, 16132 Genova, Italy

Search for more papers by this author

Carlo Ferro MD,

Carlo Ferro MD

Department of Radiology and Interventional Radiology, IRCCS San Martino University Hospital – IST – National Institute for Cancer Research, Largo Rosanna Benzi 10, 16132 Genova, Italy

Search for more papers by this author

First published: 29 January 2013

https://doi.org/10.1002/ccd.24796

Citations: 14

Conflict of interest: Nothing to report.

Share a link

Email
Wechat
Bluesky

Abstract

Central venous catheterization is a routine vascular access procedure; however, it may be associated with life-threatening complications such as arterial puncture, leading to pseudoaneurysm formation. We report a case of a 41-year-old female that developed an iatrogenic left subclavian pseudoaneurysm complicating the attempt of left internal jugular vein cannulation for temporary hemodialysis therapy. The patient underwent urgent endovascular treatment with deployment of covered stent into the left subclavian artery (SCA) after embolization of the origin of the left internal mammary artery with Amplatzer Vascular Plug 4. The patient's recovery was unremarkable. Follow-up till 24 months reveals total exclusion of the pseudoaneurysm of the left SCA with patency of the distal branches. © 2013 Wiley Periodicals, Inc.

REFERENCES

1Walser EM. Venous access port: Indications, implantation technique, follow-up, and complications. Cardiovasc Intervent Radiol 2012; 35: 751–764.
10.1007/s00270-011-0271-2
PubMed Web of Science® Google Scholar
2Berlet MH, Steffen D, Shaughness G, Hanner J. Closure using a surgical closure device of inadvertent subclavian artery puncture during central venous catheter placement. Cardiovasc Intervent Radiol 2001; 24: 122–124.
10.1007/s002700002542
CAS PubMed Web of Science® Google Scholar
3Kusminsky RE. Complications of central venous catheterization. J Am Coll Surg 2007; 204: 681–696.
10.1016/j.jamcollsurg.2007.01.039
PubMed Web of Science® Google Scholar
4Patel AV, Marin ML, Veith FJ, Kerr A, Sanchez LA. Graft repair of penetrating subclavian artery injuries. J Endovasc Surg 1996; 3: 382–388.
10.1583/1074-6218(1996)003<0382:EGROPS>2.0.CO;2
CAS PubMed Web of Science® Google Scholar
5Petrocheilou G, Kokkinis C, Stathopoulou S, Fragopoulou L, Mihos P, Papadaki PJ, Vlychou M. Iatrogenic pseudoaneurysm of the brachiocephalic artery: A rare complication of Hickman line insertion. Int Urol Nephrol 2008; 40: 1107–1110.
10.1007/s11255-008-9439-3
PubMed Web of Science® Google Scholar
6De Troia A, Tecchio T, Azzarone M, Biasi L, Piazza P, Franco Salcuni P. Endovascular treatment of an innominate artery iatrogenic pseudoaneurysm following subclavian vein catheterization. Vasc Endovasc Surg 2011; 45: 78–82.
10.1177/1538574410388308
Web of Science® Google Scholar
7Sui YP, Tong MKh, Poon WL, Tsui WC, Kwan TH. Haemodialysis catheter-related right trasverse cervical artery pseudoaneurysm and treatment by coil embolization. Nephrology 2005; 10: 37–39.
10.1111/j.1440-1797.2005.00368.x
PubMed Web of Science® Google Scholar
8Nicholson T, Ettles D, Robinson G. Managing inadvertent arterial catheterization during central venous access procedures. Cardiovasc Intervent Radiol 2004; 271: 21–25.
Google Scholar
9Ferro C, Rossi UG, Bovio G, Petrocelli F, Seitun S. The Amplatzer Vascular Plug 4: preliminary experience. Cardiovasc Intervent Radiol 2011; 33: 844–848.
10.1007/s00270-009-9749-6
Web of Science® Google Scholar
10Peynircioglu B, Yurttutan N, Gulek B, Cil B, Yilmaz M. Vertebral artery occlusion with Amplatzer vascular plug 4 to prevent subsequent endoleak in stent-graft treatment of subclavian artery gunshot injury. Acta Radiol 2011; 52: 850–853.
10.1258/ar.2011.110129
PubMed Web of Science® Google Scholar

Citing Literature

Volume82, Issue7

1 December 2013

Pages E906-E910

SCAI Member Sign in

Subclavian artery pseudoaneurysm complicating central venous catheterization

Endovascular treatment with amplatzer vascular plug 4 and covered stent

Abstract

REFERENCES

Citing Literature

References

Information

About Wiley Online Library

Help & Support

Opportunities

Connect with Wiley

Subclavian artery pseudoaneurysm complicating central venous catheterization

Endovascular treatment with amplatzer vascular plug 4 and covered stent

Abstract

REFERENCES

Citing Literature

References

Related

Information