锁骨下动脉意外置管并发卒中：血管内治疗及文献复习
Inadvertent subclavian artery catheter placement complicated by stroke: endovascular management and review.
作者信息
Jahromi Babak S, Tummala Ramachandra P, Levy Elad I
机构信息
Department of Neurosurgery, Millard Fillmore Gates Hospital, Kaleida Health, Buffalo, New York 14209, USA.
出版信息
Catheter Cardiovasc Interv. 2009 Apr 1;73(5):706-11. doi: 10.1002/ccd.21884.
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.
背景
误置于锁骨下动脉的大口径静脉导管拔除时，由于穿刺部位无法压迫，有大出血风险。这些患者的合并症常使传统手术方法不可行。
病例描述
我们报告一例中心静脉导管意外置入锁骨下动脉并并发血栓栓塞性中风的病例，阐述经皮封堵和临时球囊压迫联合治疗方法，并回顾这一罕见问题的血管内治疗。
结论
血管内治疗意外锁骨下动脉插管似乎是一种合理的选择，其微创性可能对最初因基础疾病需要中心静脉通路的患者有益。
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