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经皮血管闭合装置治疗锁骨下动脉意外插管

Treatment of inadvertent subclavian artery cannulation with a percutaneous vascular closure device.

作者信息

Zhang Junbo, Lv Ying, Tian Hongyan

机构信息

Department of Peripheral Vascular Disease, The First Affiliated Hospital of the Medical College of Xi'an Jiaotong University, Shannxi Province, No. 277 Yanta West Road, Xi'an, 710061, People's Republic of China.

Department of Cardiovascular Disease, The Third Affiliated Hospital of the Medical College of Xi'an Jiaotong University/Shaanxi Provincial People's Hospital, Shannxi Province, No. 256 Youyi West Road, Xi'an, 710068, People's Republic of China.

出版信息

J Interv Med. 2019 Oct 23;2(4):164-165. doi: 10.1016/j.jimed.2019.10.009. eCollection 2019 Nov.

DOI:10.1016/j.jimed.2019.10.009
PMID:34805895
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8562210/
Abstract

Inadvertent puncture of the subclavian artery is an uncommon but potentially fatal complication of the commonly performed internal jugular vein catheterization. We report a case of accidental subclavian artery catheterization close to the vertebral artery during internal jugular venous cannulation, which was successfully managed in the interventional suite with catheter removal and use of a vascular closure device.

摘要

锁骨下动脉意外穿刺是常见的颈内静脉置管术一种罕见但可能致命的并发症。我们报告一例在颈内静脉插管过程中靠近椎动脉处意外发生锁骨下动脉置管的病例,该病例在介入室通过拔除导管并使用血管闭合装置成功处理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/686e/8562210/25212ac17649/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/686e/8562210/25212ac17649/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/686e/8562210/25212ac17649/gr1.jpg

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本文引用的文献

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Iatrogenic percutaneous vascular injuries: clinical presentation, imaging, and management.医源性经皮血管损伤:临床表现、影像学及处理
Semin Intervent Radiol. 2015 Jun;32(2):108-22. doi: 10.1055/s-0035-1549375.
2
Inadvertent subclavian artery cannulation: endovascular repair using a collagen closure device-report of two cases and review of the literature.锁骨下动脉意外插管:使用胶原蛋白闭合装置的血管腔内修复——两例报告及文献复习
Case Rep Vasc Med. 2012;2012:150343. doi: 10.1155/2012/150343. Epub 2012 Apr 4.
中心静脉导管置入过程中意外动脉插管的处理:病例系列
J Pers Med. 2022 Sep 19;12(9):1537. doi: 10.3390/jpm12091537.