Endovascular management of inadvertent brachiocephalic arterial catheterization

Journal of Neurosurgery
Ciaran J PowersTony P Smith

Abstract

Inadvertent catheterization of brachiocephalic arteries (carotid artery, subclavian artery, or vertebral artery) during attempted placement of a central venous catheter can have potentially disastrous complications. While removal of the catheter in the operating room is almost always an option, there are circumstances in which a less invasive approach may be more appropriate. The authors present their experience using endovascular techniques for removal of inadvertently placed central venous catheters to elucidate potential options for successful nonsurgical management. The authors reviewed their database of interventional procedures that occurred between January 1, 2000, and February 1, 2009. All cases referred for management of suspected brachiocephalic arterial catheterization or arterial injury after attempted placement of a central venous catheter were included. Medical records and radiological imaging were reviewed to determine patient demographics, clinical situation, methods for removal, as well as clinical and imaging follow-up. A total of 13 patients, ranging in age from 31 to 88 years old, were referred to interventional radiology for management of suspected inadvertent arterial catheterization of the brachiocephalic...Continue Reading

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Citations

Feb 9, 2013·Cardiovascular and Interventional Radiology·Bahir AlmazediSapna Puppala
Feb 3, 2016·Chinese Medical Journal·Lin WangChang-An Wang
Apr 26, 2011·Journal of Vascular and Interventional Radiology : JVIR·Hyeon YuMatthew A Mauro
Aug 11, 2015·Annals of Vascular Surgery·Dustin Y YoonHeron E Rodriguez
Sep 7, 2013·Journal of Cardiothoracic and Vascular Anesthesia·Andrew Bowdle
Nov 30, 2016·Cardiovascular and Interventional Radiology·Gregory C MakrisRaman Uberoi
Oct 9, 2013·The Journal of Vascular Access·Manohar BairyShankar Prasad
Sep 10, 2014·The Journal of Vascular Access·Gregor M Dunham, Sandeep S Vaidya
Oct 30, 2016·The Journal of Vascular Access·Oliver G B DixonIan C Chetter

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