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中心静脉导管插入术中锁骨下动脉意外插管：一例报告及预防与处理综述

Inadvertent cannulation of subclavian artery in central venous catheter insertion: A case report and review of prevention and management.

作者信息

Shiu Wai Hung Lester

机构信息

Department of Radiology, Pamela Youde Nethersole Eastern Hospital, Chai Wan, Hong Kong.

出版信息

J Clin Imaging Sci. 2022 Jun 17;12:34. doi: 10.25259/JCIS_50_2022. eCollection 2022.

DOI:10.25259/JCIS_50_2022
PMID:35769095
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9235425/
Abstract

Central venous catheter is a commonly performed procedure in which inadvertent arterial puncture is a known complication. Inadvertent arterial injury with a large-bore catheter is associated with significant morbidity and there are a few endovascular techniques to repair the injury, including the use of a percutaneous closure device and a covered stent placement. We report a case of a patient with complex medical history complicated by inadvertent right subclavian artery injury during central venous catheter insertion. The catheter was immediately removed. The right subclavian arterial injury was repaired with a stent-graft.

摘要

中心静脉置管是一种常见的操作，其中意外动脉穿刺是一种已知的并发症。大口径导管导致的意外动脉损伤会引发严重的发病情况，并且有一些血管内技术可用于修复损伤，包括使用经皮闭合装置和置入覆膜支架。我们报告一例患者，其病史复杂，在中心静脉置管过程中并发意外右锁骨下动脉损伤。导管立即被移除。右锁骨下动脉损伤通过覆膜支架修复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddb1/9235425/5161552edb5a/JCIS-12-34-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddb1/9235425/ab7e35318684/JCIS-12-34-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddb1/9235425/071d09825da6/JCIS-12-34-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddb1/9235425/2f3810613f5c/JCIS-12-34-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddb1/9235425/cd83439f6c80/JCIS-12-34-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddb1/9235425/f54eaee8a1dc/JCIS-12-34-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddb1/9235425/cf0eb9a7eef8/JCIS-12-34-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddb1/9235425/d9bd99452314/JCIS-12-34-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddb1/9235425/803bd2981837/JCIS-12-34-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddb1/9235425/5161552edb5a/JCIS-12-34-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddb1/9235425/ab7e35318684/JCIS-12-34-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddb1/9235425/071d09825da6/JCIS-12-34-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddb1/9235425/2f3810613f5c/JCIS-12-34-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddb1/9235425/cd83439f6c80/JCIS-12-34-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddb1/9235425/f54eaee8a1dc/JCIS-12-34-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddb1/9235425/cf0eb9a7eef8/JCIS-12-34-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddb1/9235425/d9bd99452314/JCIS-12-34-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddb1/9235425/803bd2981837/JCIS-12-34-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddb1/9235425/5161552edb5a/JCIS-12-34-g009.jpg

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本文引用的文献

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Arterial trauma during central venous catheter insertion: Case series, review and proposed algorithm.中心静脉导管插入过程中的动脉损伤：病例系列、综述及拟议算法
J Vasc Surg. 2008 Oct;48(4):918-25; discussion 925. doi: 10.1016/j.jvs.2008.04.046. Epub 2008 Aug 13.
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