Percutaneous Suture-Based Closure Device for Management of Inadvertent Subclavian Artery Catheterization

Seong Soo Lee, Jaehoon Ko, Kyung-Suk Lim, Beomsu Shin, Ga Yeon Lee, Seung-Hyuk Choi
2014 Korean Journal of Medicine  
Central venous catheterization is performed to secure pathways for large amounts of saline, drug infusion, parenteral nutrition support, and hemodialysis. Accidental subclavian artery cannulation is a possible complication of central venous catheterization. Here, we report two cases of 8 Fr. chemoports inadvertently inserted in subclavian arteries during internal jugular venous catheterizations. The chemoports were removed successfully, and puncture sites were repaired using suture-based
more » ... suture-based closure devices (Perclose). One patient experienced minor neurological complications after the procedure. With effective management, the patient was treated with no sequelae. To our knowledge, this is the first report of stroke after procedures using suture-based devices. (Korean J Med 2014;87:200-204)
doi:10.3904/kjm.2014.87.2.200 fatcat:34n32w3i5nd3tel7d7vayui5mi