Kemp Benjamin Jr, Kearns Daniel J, Uberoi Raman
Oxford University Hospitals, Oxford, United Kingdom.
BJR Case Rep. 2023 Sep 12;9(5):20230015. doi: 10.1259/bjrcr.20230015. eCollection 2023 Oct.
The insertion of any central venous catheter (CVC) is associated with a risk of damage to neurovascular structures, pneumothorax, cardiac arrhythmias, and infection. Unintentional arterial puncture remains rare, occurring in 6.3-9.4% of attempted internal jugular vein (IJV) catheterisation and 3.1-4.9% of attempted subclavian vein catheterisation. We present a previously undocumented complication encountered while utilising the Perclose ProGlide device in the case of a 59-year-old male who underwent right subclavian artery closure following the accidental insertion of a 14Fr Vascath into the right subclavian artery. This was performed using two ProGlide devices and one Angio-Seal device. Following deployment of the ProGlide devices, an uninflated balloon passed into the subclavian artery as a precaution, but not used, was removed. One of the ProGlide devices became dislodged having been deployed into the balloon, threatening haemostasis.
插入任何中心静脉导管（CVC）都有损伤神经血管结构、导致气胸、心律失常和感染的风险。意外动脉穿刺仍然很少见，在尝试颈内静脉（IJV）置管的病例中发生率为6.3 - 9.4%，在尝试锁骨下静脉置管的病例中发生率为3.1 - 4.9%。我们报告了一例此前未记录的并发症，一名59岁男性在意外将一根14Fr Vascath导管插入右锁骨下动脉后，使用Perclose ProGlide装置进行右锁骨下动脉闭合时发生了该并发症。这一操作使用了两个ProGlide装置和一个Angio - Seal装置。在部署ProGlide装置后，一个未充气的球囊作为预防措施进入了锁骨下动脉，但未使用就被取出。其中一个ProGlide装置在部署到球囊后发生移位，危及止血。
