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Eur J Emerg Med. 2009 Dec;16(6):323-6. doi: 10.1097/MEJ.0b013e32832a0851.

Endovascular repair of inadvertent subclavian artery perforation during cannulation for dialysis access: case report and review of the literature.

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1
1st Department of General and Vascular Surgery, Aristotle University of Thessaloniki, Papageorgiou General Hospital, Thessaloniki, Greece.

Abstract

Central venous catheterization is a routine vascular-access procedure; however, it may be associated with life-threatening complications such as arterial puncture, leading to arterial occlusion, embolism, pseudoaneurysm formation, vessel laceration or dissection, haemopneumothorax or massive haemorrhage. We report a case of an accidental subclavian artery perforation with a wide dialysis catheter. A Jostent endovascular covered stent was deployed to seal the deficit. The specific device can easily conform to the anatomical configuration of most peripheral vessels, constituting a good alternative to open repair in cases of accidental vessel puncture.

PMID:
19318956
DOI:
10.1097/MEJ.0b013e32832a0851
[Indexed for MEDLINE]
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