Subclavian artery pseudoaneurysm complicating central venous catheterization: endovascular treatment with Amplatzer Vascular Plug 4 and covered stent

Central venous catheterization is a routine vascular access procedure; however, it may be associated with life-threatening complications such as arterial puncture, leading to pseudoaneurysm formation. We report a case of a 41-year-old female that developed an iatrogenic left subclavian pseudoaneurys...

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Bibliographic Details
Published in:Catheterization and cardiovascular interventions 2013-12, Vol.82 (7), p.E906-E910
Main Authors: Rossi, Umberto G, Petrocelli, Francesco, Ferro, Carlo
Format: Article
Language:English
Subjects:
Adult
Aneurysm, False - diagnosis
Aneurysm, False - etiology
Aneurysm, False - physiopathology
Aneurysm, False - therapy
Angioplasty, Balloon - instrumentation
Catheterization, Central Venous - adverse effects
Embolization, Therapeutic - instrumentation
Female
Humans
Iatrogenic Disease
Jugular Veins
Multidetector Computed Tomography
Prosthesis Design
Renal Dialysis
Stents
Subclavian Artery - diagnostic imaging
Subclavian Artery - injuries
Subclavian Artery - physiopathology
Time Factors
Treatment Outcome
Vascular Patency
Vascular System Injuries - diagnosis
Vascular System Injuries - etiology
Vascular System Injuries - physiopathology
Vascular System Injuries - therapy
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Summary:Central venous catheterization is a routine vascular access procedure; however, it may be associated with life-threatening complications such as arterial puncture, leading to pseudoaneurysm formation. We report a case of a 41-year-old female that developed an iatrogenic left subclavian pseudoaneurysm complicating the attempt of left internal jugular vein cannulation for temporary hemodialysis therapy. The patient underwent urgent endovascular treatment with deployment of covered stent into the left subclavian artery (SCA) after embolization of the origin of the left internal mammary artery with Amplatzer Vascular Plug 4. The patient's recovery was unremarkable. Follow-up till 24 months reveals total exclusion of the pseudoaneurysm of the left SCA with patency of the distal branches.
ISSN:1522-1946
1522-726X
DOI:10.1002/ccd.24796