Ease of Using a Dedicated Percutaneous Closure Device after Inadvertent Cannulation of the Subclavian Artery: Case Report
Inadvertent puncture of the subclavian artery is a relatively frequent and potentially disastrous complication of attempted central venous access. Due to its noncompressible location, accidental subclavian arterial cannulation may result in hemorrhage as the sheath is removed. We report a new case o...
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| Format: | Article |
| Language: | English |
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Wiley
2009-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2009/728629 |
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| author | Arnaud Devriendt Emmanuel Tran-Ngoc Philippe Gottignies José Castro-Rodriguez Oliver Lomas Sophie Jamart Sébastien Knecht |
| author_facet | Arnaud Devriendt Emmanuel Tran-Ngoc Philippe Gottignies José Castro-Rodriguez Oliver Lomas Sophie Jamart Sébastien Knecht |
| author_sort | Arnaud Devriendt |
| collection | DOAJ |
| description | Inadvertent puncture of the subclavian artery is a relatively frequent and potentially disastrous complication of attempted central venous access. Due to its noncompressible location, accidental subclavian arterial cannulation may result in hemorrhage as the sheath is removed. We report a new case of successful percutaneous closure of the subclavian artery which had been inadvertently cannulated, using a closure device based on a collagen plug (Angio-Seal, St. Jude Medical). This was performed in a patient who had received maximal antiplatelet and anticoagulation therapies because of prior coronary stenting in the context of cardiogenic shock. There was no prior angiographic assessment, as arterial puncture was presumed to have been distal to the right common artery and vertebral arteries. No complications were observed in this high-risk patient, suggesting that this technique could be used once the procedure has been evaluated prospectively. |
| format | Article |
| id | doaj-art-aea75b814f5d40b68e887cfbbeb46d73 |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2009-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-aea75b814f5d40b68e887cfbbeb46d732025-08-20T03:38:59ZengWileyCase Reports in Medicine1687-96271687-96352009-01-01200910.1155/2009/728629728629Ease of Using a Dedicated Percutaneous Closure Device after Inadvertent Cannulation of the Subclavian Artery: Case ReportArnaud Devriendt0Emmanuel Tran-Ngoc1Philippe Gottignies2José Castro-Rodriguez3Oliver Lomas4Sophie Jamart5Sébastien Knecht6Department of Cardiology, CHU Brugmann, 1020 Brussels, BelgiumDepartment of Cardiology, CHU Brugmann, 1020 Brussels, BelgiumDepartment of Critical Care, CHU Brugmann, 1020 Brussels, BelgiumDepartment of Cardiology, CHU Brugmann, 1020 Brussels, BelgiumDepartment of Cardiology, CHU Brugmann, 1020 Brussels, BelgiumDepartment of Critical Care, CHU Brugmann, 1020 Brussels, BelgiumDepartment of Cardiology, CHU Brugmann, 1020 Brussels, BelgiumInadvertent puncture of the subclavian artery is a relatively frequent and potentially disastrous complication of attempted central venous access. Due to its noncompressible location, accidental subclavian arterial cannulation may result in hemorrhage as the sheath is removed. We report a new case of successful percutaneous closure of the subclavian artery which had been inadvertently cannulated, using a closure device based on a collagen plug (Angio-Seal, St. Jude Medical). This was performed in a patient who had received maximal antiplatelet and anticoagulation therapies because of prior coronary stenting in the context of cardiogenic shock. There was no prior angiographic assessment, as arterial puncture was presumed to have been distal to the right common artery and vertebral arteries. No complications were observed in this high-risk patient, suggesting that this technique could be used once the procedure has been evaluated prospectively.http://dx.doi.org/10.1155/2009/728629 |
| spellingShingle | Arnaud Devriendt Emmanuel Tran-Ngoc Philippe Gottignies José Castro-Rodriguez Oliver Lomas Sophie Jamart Sébastien Knecht Ease of Using a Dedicated Percutaneous Closure Device after Inadvertent Cannulation of the Subclavian Artery: Case Report Case Reports in Medicine |
| title | Ease of Using a Dedicated Percutaneous Closure Device after Inadvertent Cannulation of the Subclavian Artery: Case Report |
| title_full | Ease of Using a Dedicated Percutaneous Closure Device after Inadvertent Cannulation of the Subclavian Artery: Case Report |
| title_fullStr | Ease of Using a Dedicated Percutaneous Closure Device after Inadvertent Cannulation of the Subclavian Artery: Case Report |
| title_full_unstemmed | Ease of Using a Dedicated Percutaneous Closure Device after Inadvertent Cannulation of the Subclavian Artery: Case Report |
| title_short | Ease of Using a Dedicated Percutaneous Closure Device after Inadvertent Cannulation of the Subclavian Artery: Case Report |
| title_sort | ease of using a dedicated percutaneous closure device after inadvertent cannulation of the subclavian artery case report |
| url | http://dx.doi.org/10.1155/2009/728629 |
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