Journals / Damar Cerrahi Dergisi / 2013 / Cilt: 22 - Sayı: 1

Hybride approach to an ıatrogenic subclavian arterial ınjury during central venous catheterisation

Santral venöz girişim sırasında oluşan iyatrojenik subklaviyan arter yaralanmasına hibrid yaklaşım

Pages
80–82
Publication Date
2022-11-05
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

This pseudoaneurysm was treated by a hybrid terapy by using endovascular stent for the distal part and surgical approach for the proximal part.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:During upper extremity central venous catheterization, massive subclavian artery injury is a rare complication.
📊
Key Findings & Data:According to localization and extent, the injury may be life threatening.
💡
Conclusion & Impact:This pseudoaneurysm was treated by a hybrid terapy by using endovascular stent for the distal part and surgical approach for the proximal part.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

During upper extremity central venous catheterization, massive subclavian artery injury is a rare complication. According to localization and extent, the injury may be life threatening. Durine insertion of central venous port catheter to the subclavian vein, the subclavian artery was injured in more then one location in a patient who was treated for chronic myeloid leukemia. As a result of this injury, a pseudoaneurysm occured and caused tracheal compression. This pseudoaneurysm was treated by a hybrid terapy by using endovascular stent for the distal part and surgical approach for the proximal part.

Özet

Üst ekstremite santral venöz girişimleri sırasında masif subklaviyan arter yaralanması nadir bir komplikasyondur. Yaralanmanın yerine ve derecesine göre hayatı tehdit eden durumlar ortaya çıkabilir. Kronik miyeloid lösemi tanısıyla tedavi edilmek üzere yatırılan bir hastaya yapılan sağ subklaviyan vene santral venöz port takılması işlemi sırasında sağ subklaviyan arterde birden fazla noktada yaralanma oluştu. Bunun sonucunda trakeaya bası yapan subklaviyan arter kaynaklı psödoanevrizma ortaya çıktı. Arterdeki yaralanmaların distal kısmı endovasküler stent ve proksimal kısmı ise cerrahi yaklaşım kullanılarak tedavi edildi.

🔖

Cite This Article

BAYRAMOĞLU, Z., ORAL, K., AKPINAR, B., ÇAYNAK, Z., SAĞBAŞ, E. (2022). Hybride approach to an ıatrogenic subclavian arterial ınjury during central venous catheterisation. Damar Cerrahi Dergisi, Cilt: 22 - Sayı: 1, 80–82. https://ajindex.com/articles/649645

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (6)

  1. Shield CF, Richardson JD, Buckley CJ, Hagood CO. Pseudoaneurysm of the brachiocephalic arteries: a complication of percutaneous internal jugular vein catheterization. Surgery 1975;78(2):190-4.
  2. Baldwin RT, Kieta DR, Gallagher MW. Complicated right subclavian artery pseudoaneurysm after central venipuncture. Ann Thorac Surg 1996;62(2):581-2.
  3. Borja AR, Masri Z, Shruck L, Pefo S. Unusual and lethal complications of infraclavicular sub- clavian vein catheterization. Int Surg 1972; 57(1):42-5.
  4. Sznajder JI, Zveibil FR, Bitterman H, Weiner P, Bursztein S. Centralvein catheterization: failure and complication rates by three percutaneous approaches. Arch Intern Med 1986; 146(2):25961. Hohls M, Ghanem N, Wilhelm M, Stoelben E. Tracheal stenosis caused by false aneurysm of the right subclavian artery. Eur J Cardiothorac Surg 2002;21(5):946-7.
  5. Trellopoulos G, Georgiadis GS, Aslanidou EA. Endovascular management of peripheral arterial trauma in patients presenting in hemorrhagic shok. J Cardiovasc Surg (Torino) 2012; 53(4):495-506.
  6. Reuben BC, Whitten MG, Sarfati M. Increasing use of endovascular therapy in acute arterial injuries: analysis of the National Trauma Data Bank. J Vasc Surg 2007;46(6): 1222-6. du Toit DF, Coolen D, Lambrechts A. The endovascular management of carotid artery injuries: long term fallow up. Eur J Vasc Endovasc Surg 2009;38(3):267-72.