open access
Technique of endovascular repair of iatrogenic subclavian artery injury following subclavian vein catheterization


- Department of Vascular Surgery, John Paul II Hospital, Krakow, Poland, Prądnicka 80, 31-202 Kraków, Poland
- Department of Anesthesiology and Intensive Care, John Paul II Hospital, Krakow, Poland., Prądnicka 80, 31-202 Kraków, Poland
open access
Abstract
The iatrogenic subclavian artery injury is a rare but potentially serious complication of subclavian vein cannulation.
The use of endovascular techniques is an alternative to surgical repair especially in patients with concomitant
diseases in whom immediate, potentially large surgery would be associated with a high risk of perioperative
complications. This article discusses technical aspects of endovascular repair of iatrogenic injury of subclavian
artery with implantation of covered stents based on two cases. Author’s experience and data from literature
suggests that endovascular management including covered stent implantation is safe and effective treatment
and should be considered as a method of choice especially among patients in poor general condition and/or
major comorbidities.
Abstract
The iatrogenic subclavian artery injury is a rare but potentially serious complication of subclavian vein cannulation.
The use of endovascular techniques is an alternative to surgical repair especially in patients with concomitant
diseases in whom immediate, potentially large surgery would be associated with a high risk of perioperative
complications. This article discusses technical aspects of endovascular repair of iatrogenic injury of subclavian
artery with implantation of covered stents based on two cases. Author’s experience and data from literature
suggests that endovascular management including covered stent implantation is safe and effective treatment
and should be considered as a method of choice especially among patients in poor general condition and/or
major comorbidities.
Keywords
subclavian artery, covered stents, central catheters, iatrogenic injury


Title
Technique of endovascular repair of iatrogenic subclavian artery injury following subclavian vein catheterization
Journal
Issue
Article type
Case report
Pages
150-154
Published online
2021-03-22
Page views
870
Article views/downloads
467
DOI
10.5603/AA.2020.0023
Bibliographic record
Acta Angiologica 2020;26(4):150-154.
Keywords
subclavian artery
covered stents
central catheters
iatrogenic injury
Authors
Marek Kazibudzki
Jerzy Wojciech Krzywoń
Tomasz Kwiatkowski
Katarzyna Zbierska- Rubinkiewicz
Elżbieta Dobrowolska
Mariusz Trystuła


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