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Review
, 73 (5), 706-11

Inadvertent Subclavian Artery Catheter Placement Complicated by Stroke: Endovascular Management and Review

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Review

Inadvertent Subclavian Artery Catheter Placement Complicated by Stroke: Endovascular Management and Review

Babak S Jahromi et al. Catheter Cardiovasc Interv.

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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