Endovascular Management of Iatrogenic Subclavian Artery Catheterization during Single-Incision Chest Port Placement

Mohamed Kably, Dmitriy Meshkov

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

The chest port is an integral part of the treatment of various malignancies. Placement of this intravascular device is achieved most commonly through a double-incision approach and recently by utilizing a newer single-incision technique. The single-incision technique is associated with better cosmetic outcomes, decreased infection rates, and less tissue injury. In this case, during routine double port placement utilizing single-incision subcutaneous infraclavicular approach, inadvertent catheterization of the right subclavian artery at the origin of the right vertebral artery was noted. The defect was repaired with a novel approach utilizing a 7 mm x 7 mm HyperForm compliant balloon (Covidien) under fluoroscopic guidance. At the conclusion of the procedure, the patient had no neurologic deficits and intact vascular exam of the upper extremities.

Original languageEnglish (US)
Pages (from-to)20-25
Number of pages6
JournalVascular Disease Management
Volume12
Issue number2
StatePublished - Feb 1 2015

Keywords

  • balloon angioplasty
  • central line
  • endovascular therapy
  • iatrogenic cannulation
  • subclavian artery intervention
  • vascular closure device

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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