Delayed Presentation of Catheter-related Subclavian Artery Pseudoaneurysm

JNMA J Nepal Med Assoc. 2015 Apr-Jun;53(198):130-3.

Abstract

Central venous catheterization is a common diagnostic and therapeutic procedure in modern clinical practice. Pseudoaneurysms of the subclavian artery are rare and usually occur immediately after the causative event, whether the cause was trauma or a medical procedure. Here, we report a case of a 71-year-old woman with delayed presentation of catheter-related subclavian pseudoaneurysm. The patient's symptoms began two weeks after the initial catheterization, probably because of slow leakage of blood from the injured subclavian artery caused by incomplete compression of the puncture site and uremic coagulopathy. She was successfully treated with ultrasound-guided thrombin and angiography-guided histoacryl injection without stent insertion or surgery.

Keywords: butyl 2-cyanacrylate; pseudoaneurysm; subclavian; thrombin..

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aneurysm, False / diagnostic imaging*
  • Aneurysm, False / etiology
  • Aneurysm, False / therapy
  • Angiography
  • Catheterization, Central Venous / adverse effects
  • Central Venous Catheters / adverse effects
  • Enbucrilate / therapeutic use
  • Female
  • Hemostatics / therapeutic use
  • Humans
  • Injections, Intralesional
  • Subclavian Artery / diagnostic imaging*
  • Thrombin / therapeutic use
  • Tissue Adhesives / therapeutic use
  • Tomography, X-Ray Computed
  • Ultrasonography

Substances

  • Hemostatics
  • Tissue Adhesives
  • Thrombin
  • Enbucrilate