Delayed Presentation of Catheter-related Subclavian Artery Pseudoaneurysm

Kim M, ES Kang, HW Kim, Y Kim, MH Kang, YJ Chang, KH Choe, KM Lee, JY An
2015 Journal of Nepal Medical Association  
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
more » ... ood 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.
doi:10.31729/jnma.2775 fatcat:kegm2k3t5behhmnf5b2maz57be