Percutaneous Suture-Based Closure Device for Management of Inadvertent Subclavian Artery Catheterization.
10.3904/kjm.2014.87.2.200
- Author:
Seong Soo LEE
1
;
Jaehoon KO
;
Kyung Suk LIM
;
Beomsu SHIN
;
Ga Yeon LEE
;
Seung Hyuk CHOI
Author Information
1. Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. sh1214.choi@samsung.com
- Publication Type:Case Report
- Keywords:
Central venous catheterization;
Subclavian artery;
Perclose;
Stroke
- MeSH:
Catheterization*;
Catheterization, Central Venous;
Catheters*;
Central Venous Catheters;
Humans;
Infusions, Parenteral;
Methods;
Punctures;
Renal Dialysis;
Stroke;
Subclavian Artery*
- From:Korean Journal of Medicine
2014;87(2):200-204
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Central venous catheterization is performed to secure pathways for large amounts of saline, drug infusion, parenteral nutrition support, and hemodialysis. Accidental subclavian artery cannulation is a possible complication of central venous catheterization. Here, we report two cases of 8 Fr. chemoports inadvertently inserted in subclavian arteries during internal jugular venous catheterizations. The chemoports were removed successfully, and puncture sites were repaired using suture-based closure devices (Perclose). One patient experienced minor neurological complications after the procedure. With effective management, the patient was treated with no sequelae. To our knowledge, this is the first report of stroke after procedures using suture-based devices.
