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KMID : 0882420140870020200
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Korean Journal of Medicine
2014 Volume.87 No. 2 p.200 ~ p.204
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Percutaneous Suture-Based Closure Device for Management of Inadvertent Subclavian Artery Catheterization
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Lee Seong-Soo
Ko Jae-Hoon
Lim Kyung-Suk
Shin Beom-Su
Lee Ga-Yeon
Choi Seung-Hyuk
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Abstract
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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 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.
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KEYWORD
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Central venous catheterization, Subclavian artery, Perclose, Stroke
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