Inadvertent cannulation of subclavian artery in central venous catheter insertion: A case report and review of prevention and management

J Clin Imaging Sci. 2022 Jun 17:12:34. doi: 10.25259/JCIS_50_2022. eCollection 2022.

Abstract

Central venous catheter is a commonly performed procedure in which inadvertent arterial puncture is a known complication. Inadvertent arterial injury with a large-bore catheter is associated with significant morbidity and there are a few endovascular techniques to repair the injury, including the use of a percutaneous closure device and a covered stent placement. We report a case of a patient with complex medical history complicated by inadvertent right subclavian artery injury during central venous catheter insertion. The catheter was immediately removed. The right subclavian arterial injury was repaired with a stent-graft.

Keywords: Central venous catheter; Inadvertent arterial injury; Percutaneous intervention.

Publication types

  • Case Reports