Successful interventional management for subclavian artery injury secondary to internal jugular catheterization: a report of two cases

Cardiovasc Intervent Radiol. 2009 Nov;32(6):1268-71. doi: 10.1007/s00270-008-9497-z. Epub 2009 Jan 15.

Abstract

Central venous cannulation through the right internal jugular vein is a widely used technique, and complications due to this procedure are very rare. We report two cases of right massive hemothorax due to inadvertent puncture of a right subclavian artery. Digital subtraction angiography demonstrated a perforated subclavian artery in both cases. These were successfully treated with transcatheter arterial embolization for the bleeding points of the right subclavian arteries.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Angiography, Digital Subtraction
  • Catheterization, Central Venous / adverse effects*
  • Contrast Media
  • Embolization, Therapeutic
  • Extravasation of Diagnostic and Therapeutic Materials / diagnostic imaging
  • Fatal Outcome
  • Female
  • Humans
  • Iatrogenic Disease
  • Jugular Veins*
  • Male
  • Subclavian Artery / diagnostic imaging
  • Subclavian Artery / injuries*
  • Tomography, X-Ray Computed
  • Ultrasonography, Interventional

Substances

  • Contrast Media