Wang Yu, Liu Tao, Zhou Xuemei, Guo Fa-Cai
Department of Vascular Surgery, Lanzhou University Second Hospital, Lan Zhou, China.
Department of Gerontology, Lanzhou University Second Hospital, Lan Zhou, China.
Sci Prog. 2025 Jul-Sep;108(3):368504251363121. doi: 10.1177/00368504251363121. Epub 2025 Jul 30.
Accidental arterial puncture is a rare but significant complication associated with central venous catheterization. This report describes a case of inadvertent subclavian artery catheterization that was successfully managed with the ExoSeal vascular closure device. A female patient in her early 30s was hospitalized for severe acute pancreatitis that necessitated cannulation of the right subclavian vein. Postprocedure, infusion difficulties suggested a need for arterial catheterization, which was confirmed by imaging. The intervention resulted in prompt hemostasis and prevented further vascular injury, resulting in complication-free recovery. This case highlights the importance of rapid identification and treatment of arterial injury during central venous catheterization, and also demonstrates the effectiveness of ExoSeal in the management of vascular complications, especially in high-risk conditions.
意外动脉穿刺是与中心静脉置管相关的一种罕见但严重的并发症。本报告描述了一例无意中进行锁骨下动脉置管的病例，该病例通过ExoSeal血管闭合装置成功处理。一名30岁出头的女性患者因严重急性胰腺炎住院，需要对右锁骨下静脉进行插管。术后，输液困难提示可能需要进行动脉置管，影像学检查证实了这一点。该干预措施实现了迅速止血并防止了进一步的血管损伤，从而实现了无并发症康复。本病例突出了在中心静脉置管过程中快速识别和治疗动脉损伤的重要性，同时也证明了ExoSeal在处理血管并发症方面的有效性，尤其是在高危情况下。
