Inadvertent subclavian artery catheter placement complicated by stroke: Endovascular management and review

Babak S. Jahromi, Ramachandra P. Tummala, Elad I. Levy*

*Corresponding author for this work

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Background: Removal of large-bore venous catheters misplaced within the subclavian artery risks significant hemorrhage due to the noncompressible entry site. Comorbidities in these patients often make traditional surgical approaches prohibitive. Case Description: We present a case of inadvertent subclavian artery placement of a central venous catheter complicated by thromboembolic stroke, illustrate treatment with a combination of percutaneous closure and temporary balloon tamponade, and review the endovascular management of this unusual problem. Conclusion: Endovascular treatment of inadvertent subclavian artery catheterization appears to be a reasonable option, and its less-invasive nature may be beneficial for patients in whom the underlying disease initially required central venous access.

Original languageEnglish (US)
Pages (from-to)706-711
Number of pages6
JournalCatheterization and Cardiovascular Interventions
Volume73
Issue number5
DOIs
StatePublished - Apr 1 2009

Fingerprint

Subclavian Artery
Catheters
Stroke
Balloon Occlusion
Central Venous Catheters
Catheterization
Comorbidity
Hemorrhage
Therapeutics

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

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abstract = "Background: Removal of large-bore venous catheters misplaced within the subclavian artery risks significant hemorrhage due to the noncompressible entry site. Comorbidities in these patients often make traditional surgical approaches prohibitive. Case Description: We present a case of inadvertent subclavian artery placement of a central venous catheter complicated by thromboembolic stroke, illustrate treatment with a combination of percutaneous closure and temporary balloon tamponade, and review the endovascular management of this unusual problem. Conclusion: Endovascular treatment of inadvertent subclavian artery catheterization appears to be a reasonable option, and its less-invasive nature may be beneficial for patients in whom the underlying disease initially required central venous access.",
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Inadvertent subclavian artery catheter placement complicated by stroke : Endovascular management and review. / Jahromi, Babak S.; Tummala, Ramachandra P.; Levy, Elad I.

In: Catheterization and Cardiovascular Interventions, Vol. 73, No. 5, 01.04.2009, p. 706-711.

Research output: Contribution to journalArticle

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