Arterial injuries following central venous catheterization
Abstract:
Introduction: Inadvertent supra-aortic arterial injuries during central venous catheterization can lead to devastating outcomes. These have been traditionally been managed with open repair or covered stent placement; only recently have percutaneous closure been incorporated into the management of these iatrogenic arterial injuries.
Method: We performed a Medline literature search in the English language, using the PubMed web-based search engine across years 2000 to 2020. This report reviews 34 published case reports and series reporting 71 iatrogenic supra-aortic arterial injuries managed with percutaneous vascular closure devices.
Results: In our review, the use of a closure device was successful in 87% of cases, even in some cases involving sheath sizes greater than 8F. The devices used in these situations caused minimal complications and offered a quick means to control bleeding. Thus, percutaneous closure devices are a helpful tool that offers an alternative to more invasive open surgical repair.
Reference:
Kania T, Kimyaghalam A, Scarsella J, Guerges M, Breier Y, Deitch J, Malekpour F, Schor J, Singh K. Supra-aortic arterial injuries following central venous catheterization managed with percutaneous closure devices: A comprehensive literature review of current evidence. Ann Vasc Surg. 2023 May 9:S0890-5096(23)00258-3. doi: 10.1016/j.avsg.2023.04.036. Epub ahead of print. PMID: 37169251.