意外将中心静脉导管插入异常动脉解剖结构，需要进行血管内介入治疗。
Accidental central venous catheter cannulation into aberrant arterial anatomy requiring endovascular intervention.
作者信息
Lucas Spencer J, Bready Eric, Banks Charles A, Gaillard William F, Beck Adam W, Spangler Emily
机构信息
Sanford School of Medicine, University of South Dakota, Sioux Falls, SD.
Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, University of Alabama at Birmingham, Birmingham, AL.
出版信息
J Vasc Surg Cases Innov Tech. 2023 Mar 28;9(3):101164. doi: 10.1016/j.jvscit.2023.101164. eCollection 2023 Sep.
Central venous catheter placement continues to be an extremely common procedure throughout hospital systems. Although ultrasound guidance can mitigate some placement risks, misplacement of lines into neighboring structures, such as arteries, remains an unfortunate complication. In this report, we will discuss an 83-year-old female with aberrant left subclavian artery and right sided arch, which provided for successful stent graft coverage of arterial injury secondary to accidental subclavian artery cannulation with a central venous catheter with preservation of the right common carotid artery and avoidance of a potentially morbid sternotomy.
在整个医院系统中，中心静脉导管置入术仍然是一种极为常见的操作。尽管超声引导可以降低一些置入风险，但导管误置入邻近结构（如动脉）仍是一个不幸的并发症。在本报告中，我们将讨论一名83岁女性，其左锁骨下动脉走行异常且为右位主动脉弓，这使得成功地用覆膜支架覆盖了因中心静脉导管意外插入锁骨下动脉而导致的动脉损伤，同时保留了右侧颈总动脉，避免了可能导致严重并发症的胸骨切开术。
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