Arterial injuries following central venous catheterization
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.
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.