Department of Radiology, School of Medicine, Jeju National University, Jeju National University Hospital, 15, Aran 13-gil, Jeju 63241, Republic of Korea.
Department of Radiology, School of Medicine, Gyeongsang National University, Gyeongsang National University Changwon Hospital, 11 Samjeongja-ro, Changwon 51472, Republic of Korea.
Medicina (Kaunas). 2023 Nov 19;59(11):2038. doi: 10.3390/medicina59112038.
A pseudoaneurysm of the subclavian artery following central venous catheter placement is a rare but potentially fatal complication that often requires surgical intervention. However, surgical repair of the subclavian artery remains challenging. Herein, we report the case of a male patient undergoing hemodialysis who developed a pseudoaneurysm of the subclavian artery after a bedside central vein catheter placement. Hemostasis was successfully achieved by selecting the pseudoaneurysm using a microcatheter. At the 10-month follow-up, the pseudoaneurysm was completely excluded, and the patient was in a stable condition. The patient underwent native arteriovenous fistula creation and hemodialysis. Endovascular treatment could be an effective nonsurgical treatment for subclavian artery pseudoaneurysms and has been attempted as a first-line treatment option.
经中心静脉置管后锁骨下动脉假性动脉瘤是一种罕见但潜在致命的并发症，通常需要手术干预。然而，锁骨下动脉的修复仍然具有挑战性。在此，我们报告了 1 例男性血液透析患者，在床边中心静脉置管后发生锁骨下动脉假性动脉瘤。通过使用微导管选择假性动脉瘤，成功止血。在 10 个月的随访中，假性动脉瘤完全消失，患者情况稳定。患者进行了自体动静脉瘘的建立和血液透析。血管内治疗可能是治疗锁骨下动脉假性动脉瘤的一种有效非手术治疗方法，并已尝试作为一线治疗选择。
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