open access

Vol 26, No 4 (2020)
Case report
Published online: 2021-03-22
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Technique of endovascular repair of iatrogenic subclavian artery injury following subclavian vein catheterization

Marek Kazibudzki, Jerzy Wojciech Krzywoń, Tomasz Kwiatkowski, Katarzyna Zbierska- Rubinkiewicz, Elżbieta Dobrowolska, Mariusz Trystuła
DOI: 10.5603/AA.2020.0023
·
Acta Angiologica 2020;26(4):150-154.

open access

Vol 26, No 4 (2020)
Case reports
Published online: 2021-03-22

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.

Get Citation

Keywords

subclavian artery, covered stents, central catheters, iatrogenic injury

About this article
Title

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

Journal

Acta Angiologica

Issue

Vol 26, No 4 (2020)

Article type

Case report

Pages

150-154

Published online

2021-03-22

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

References (8)
  1. Sznajder JI, Zveibil FR, Bitterman H, et al. Central vein catheterization. Failure and complication rates by three percutaneous approaches. Arch Intern Med. 1986; 146(2): 259–261.
  2. Rossi UG, Petrocelli F, Ferro C. Subclavian artery pseudoaneurysm complicating central venous catheterization: endovascular treatment with Amplatzer Vascular Plug 4 and covered stent. Catheter Cardiovasc Interv. 2013; 82(7): E906–E910.
  3. Wheeler SC, Zinn KM, Hughes TW. Endovascular covered stent repair of an iatrogenic subclavian artery-to-pulmonary artery fistula and pseudoaneurysm. J Vasc Interv Radiol. 2007; 18(6): 775–779.
  4. Stoica SC, Fleet M, Howd A. Subclavian artery injury following percutaneous insertion of dialysis catheter. Rev Med Chir Soc Med Nat Iasi. 1998; 102(3-4): 194–197.
  5. Cox CS, Allen GS, Fischer RP, et al. Blunt versus penetrating subclavian artery injury: presentation, injury pattern, and outcome. J Trauma. 1999; 46(3): 445–449.
  6. Waller CJ, Cogbill TH, Kallies KJ, et al. Contemporary management of subclavian and axillary artery injuries-A Western Trauma Association multicenter review. J Trauma Acute Care Surg. 2017; 83(6): 1023–1031.
  7. Tawfic QA, Bhakta P, Mohammed AK, et al. Subclavian vein injury and massive hemothorax requiring thoracotomy following insertion of tunneled dialysis catheter--a case report and review of literature. Middle East J Anaesthesiol. 2010; 20(6): 861–864.
  8. Maciejewski DR, Tekieli Ł, Machnik R, et al. Simultaneous vertebral and subclavian artery stenting. Postepy Kardiol Interwencyjnej. 2017; 13(2): 142–149.

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