Closure of puncture of the right subclavian artery:a case report
10.3969/j.issn.1004-8812.2025.01.006
- VernacularTitle:误穿右锁骨下动脉介入封堵1例
- Author:
Dong-si SHUANG
1
;
Jiang-you WANG
1
;
Chun-jun YU
1
Author Information
1. 武汉亚心总医院心血管内外科,湖北武汉 430056
- Publication Type:Journal Article
- Keywords:
Subclavian artery;
Angioseal device;
Cardiovascular modeling;
Preoperative simulation
- From:
Chinese Journal of Interventional Cardiology
2025;33(1):51-53
- CountryChina
- Language:Chinese
-
Abstract:
This paper reports a case of a 59-year-old female patient who presented with sudden aphasia and left-sided weakness.After emergency cerebral angiography and intracranial artery thrombectomy,the left subclavian artery was accidentally punctured during left subclavian vein catheterization.Three-dimensional reconstruction and preoperative simulation using Mimics software and 3dsMAX were performed to determine the subcutaneous tunnel length and the applicability of the Angioseal closure device.Preoperative simulation showed a tunnel length of 74.6 mm,satisfying the condition of subcutaneous tunnel＜compression tube＜Angioseal introducer.Angioseal closure was then performed.Postoperative angiography showed satisfactory occlusion,and the patient had no complications.This paper discusses the challenges in managing accidental subclavian artery punctures and the application conditions of the Angioseal closure device,emphasizing the importance of preoperative three-dimensional reconstruction and simulation for ensuring surgical success.For accidental subclavian artery punctures with tunnel lengths not exceeding 88 mm,the Angioseal closure device is a safe and effective method.
