Erroneous placement of central venous catheters in subclavian artery: Retrieval and successful hemostasis with a femoral closure device.


Journal

The journal of vascular access
ISSN: 1724-6032
Titre abrégé: J Vasc Access
Pays: United States
ID NLM: 100940729

Informations de publication

Date de publication:
Sep 2022
Historique:
pubmed: 9 4 2021
medline: 14 9 2022
entrez: 8 4 2021
Statut: ppublish

Résumé

Retrospective evaluation of the safety and efficacy of the retrieval of misplaced central venous catheters (CVCs) in subclavian arteries using the femoral closure device Angio-Seal™. The clinical data of five patients (female, In 4/5 patients (80%; CVC diameter, 7-8F) the procedure was technically successful without complications. In 1/5 patients (20%; CVC diameter, 11.5F) the procedure failed and an additional covered stent was placed for successful closure of the vessel entry site. There were no complications associated with the Angio-Seal™ or stent implantation during follow-up. Retrieval of a misplaced CVC within a subclavian artery using the percutaneous closure device Angio-Seal™ is quite safe and effective; however, caution is required if there is a mismatch in the diameter of the Angio-Seal™ and CVC. In the case of procedure failure, successful closure of the vessel entry site can be achieved by covered stent placement.

Sections du résumé

BACKGROUND UNASSIGNED
Retrospective evaluation of the safety and efficacy of the retrieval of misplaced central venous catheters (CVCs) in subclavian arteries using the femoral closure device Angio-Seal™.
METHODS UNASSIGNED
The clinical data of five patients (female,
RESULTS UNASSIGNED
In 4/5 patients (80%; CVC diameter, 7-8F) the procedure was technically successful without complications. In 1/5 patients (20%; CVC diameter, 11.5F) the procedure failed and an additional covered stent was placed for successful closure of the vessel entry site. There were no complications associated with the Angio-Seal™ or stent implantation during follow-up.
CONCLUSION UNASSIGNED
Retrieval of a misplaced CVC within a subclavian artery using the percutaneous closure device Angio-Seal™ is quite safe and effective; however, caution is required if there is a mismatch in the diameter of the Angio-Seal™ and CVC. In the case of procedure failure, successful closure of the vessel entry site can be achieved by covered stent placement.

Identifiants

pubmed: 33827311
doi: 10.1177/11297298211007704
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

692-697

Auteurs

Niklas Verloh (N)

Department of Radiology, University Hospital Regensburg, Regensburg, Germany.

Gregor Scharf (G)

Department of Radiology, University Hospital Regensburg, Regensburg, Germany.

Wolf Bäumler (W)

Department of Radiology, University Hospital Regensburg, Regensburg, Germany.

Karin Pfister (K)

Department of Vascular Surgery, University Hospital Regensburg, Regensburg, Germany.

Kyriakos Oikonomou (K)

Department of Vascular Surgery, University Hospital Regensburg, Regensburg, Germany.

Christian Stroszczynski (C)

Department of Radiology, University Hospital Regensburg, Regensburg, Germany.

Wibke Uller (W)

Department of Radiology, University Hospital Freiburg, Freiburg, Germany.

Marco Dollinger (M)

Department of Radiology, University Hospital Regensburg, Regensburg, Germany.

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Classifications MeSH