Park Taek Kyu, Yang Jeong Hoon, Choi Seung-Hyuk
Division of Cardiology, Heart Vascular Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Korean Circ J. 2016 Jul;46(4):584-7. doi: 10.4070/kcj.2016.46.4.584. Epub 2016 Jul 21.
Accidental subclavian artery cannulation is an uncommon but potentially serious complication of central venous catheterization. Removal of a catheter inadvertently placed in the subclavian artery can lead to substantial bleeding, as achieving hemostasis in this area through manual compression presents considerable difficulty. Additionally, surgical treatment might be unsuitable for high-risk patients due to comorbidities. Here, we report a case of an inadvertently-inserted 11.5-French hemodialysis catheter in the subclavian artery during internal jugular venous catheterization. We performed percutaneous closure of the subclavian artery using three 6-French Perclose Proglide® devices with a balloon tamponade in the proximal part of the subclavian artery. Closure was completed without embolic neurological complications.
锁骨下动脉意外插管是中心静脉置管中一种罕见但可能严重的并发症。拔除无意中置入锁骨下动脉的导管可能导致大量出血，因为通过手动压迫在该区域实现止血存在相当大的困难。此外，由于合并症，手术治疗可能不适用于高危患者。在此，我们报告一例在内颈静脉置管期间无意中将11.5法国规格的血液透析导管插入锁骨下动脉的病例。我们使用三个6法国规格的Perclose Proglide®装置在锁骨下动脉近端进行球囊压迫，经皮闭合锁骨下动脉。闭合完成，未出现栓塞性神经并发症。
