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ProGlide entrapment of the occlusive balloon during repair of an iatrogenic subclavian artery injury
The insertion of any central venous catheter (CVC) is associated with a risk of damage to neurovascular structures, pneumothorax, cardiac arrhythmias, and infection( 1 ). Unintentional arterial puncture remains rare, occurring in 6.3–9.4% of attempted internal jugular vein (IJV) catheterisation and...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The British Institute of Radiology.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10513006/ https://www.ncbi.nlm.nih.gov/pubmed/37780972 http://dx.doi.org/10.1259/bjrcr.20230015 |
Sumario: | The insertion of any central venous catheter (CVC) is associated with a risk of damage to neurovascular structures, pneumothorax, cardiac arrhythmias, and infection( 1 ). 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( 2 ). 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. |
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