scholarly journals Inadvertent Subclavian Artery Cannulation: Endovascular Repair Using a Collagen Closure Device—Report of Two Cases and Review of the Literature

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Ganapathy Ananthakrishnan ◽  
Richard D. White ◽  
Rajesh Bhat ◽  
Sam Chakraverty
Keyword(s):  
Subclavian Artery ◽  
Closure Device ◽  
Endovascular Management ◽  
Review Of The Literature ◽  
Artery Cannulation ◽  
Computed Tomographic ◽  
Line Insertion ◽  
Vascular Closure Devices ◽  
Angiographic Findings ◽  
Uncommon Complication

Inadvertent line insertion into the subclavian artery is an uncommon complication of subclavian venous catheterisation, and its timely recognition is vital to minimise risk of harm to the patient. We describe the radiographic, computed tomographic (CT), and angiographic findings in two patients and illustrate the subsequent endovascular management using collagen vascular closure devices.

Inadvertent subclavian artery cannulation and options for management

Vascular ◽  
2014 ◽  
Vol 23 (2) ◽  
pp. 132-137 ◽  
Author(s):  
Albeir Y Mousa ◽  
Shadi Abu-Halimah ◽  
Aravinda Nanjundappa ◽  
Ali F AbuRahma
Keyword(s):  
Subclavian Artery ◽  
Central Line ◽  
Covered Stent ◽  
Closure Device ◽  
Anatomical Location ◽  
Daily Routine ◽  
Balloon Inflation ◽  
Artery Cannulation ◽  
Line Placement ◽  
Select Group

Central line placement is an integral part of our daily routine and although it is necessary in a select group of patients, serious complications may occur in up to 10% of cases. Inadvertent placement in the subclavian artery is considered to be one of the most challenging complications to the vascular specialist, which is mainly due to its deep anatomical location. Several endovascular options are available and should be tailored to fit each scenario. Herein, we present different approaches for the management of three cases of inadvertent subclavian artery cannulation. The first patient was treated with a covered stent, the second with prolonged balloon inflation, and the third with a closure device.

scholarly journals Incidence of delayed angiographic femoral artery complications using the EXOSEAL vascular closure device

2015 ◽  
Vol 21 (3) ◽  
pp. 401-406 ◽  
Author(s):  
Ramesh Grandhi ◽  
Xiaoran Zhang ◽  
David Panczykowski ◽  
Phillip Choi ◽  
Christopher T Hunnicutt ◽  
...  
Keyword(s):  
Femoral Artery ◽  
Vascular Complications ◽  
Arterial Puncture ◽  
Closure Device ◽  
Arterial Access ◽  
Vascular Closure Devices ◽  
Study Population ◽  
Clinically Significant ◽  
Angiographic Findings

Background and purpose Femoral artery injuries are known complications of percutaneous vascular closure devices (VCDs). We studied the incidence of delayed femoral artery angiographic irregularities after neurointerventional procedures in which the EXOSEAL extravascular closure device was used for femoral arterial puncture closure. Methods Adult patients who underwent femoral arterial puncture closures with an EXOSEAL VCD and had a follow-up femoral artery angiogram from June 2012 through August 2013 were reviewed. A blinded radiologist compared pre-deployment and follow-up femoral arteriograms for the presence of femoral artery stenosis, dissection, pseudoaneurysm, or development of an arteriovenous fistula. Hospital records were reviewed for major or minor complications of the groin site or femoral artery. Results The EXOSEAL VCD achieved hemostasis, without evidence of a groin hematoma or requiring subsequent prolonged manual compression, in 400 of 441 closures following transfemoral arterial access, representing a device success rate of 90.7%. A total of 98 patients underwent 102 repeat angiograms following closure with the EXOSEAL VCD. The average time to the repeat angiogram was 73.5 days (range 0–488, median 28). Follow-up femoral arteriography demonstrated an irregularity in seven cases, all of which were vessel stenoses of <50%. There were no dissections, pseudoaneurysms, infections, or ischemic events in the study population. Conclusions Angiographic irregularities were seen in 6.86% of cases after closure with the EXOSEAL VCD. There were no clinically significant vascular complications. Thus, femoral artery closure with EXOSEAL carries a low risk of clinically significant delayed angiographic findings.

scholarly journals Successful treatment of inadvertent subclavian artery cannulation by arterial closure device

2017 ◽  
Vol 64 (5) ◽  
pp. 544-545 ◽  
Author(s):  
Szu-Ling Chang ◽  
Chih-Hung Lai ◽  
Hui-Chih Lai ◽  
Chih-Jen Hung ◽  
Wen-Lieng Lee
Keyword(s):  
Subclavian Artery ◽  
Successful Treatment ◽  
Closure Device ◽  
Artery Cannulation ◽  
Arterial Closure Device

Use of vascular closure devices for endovascular interventions requiring a direct puncture of PETE grafts

VASA ◽  
2018 ◽  
Vol 47 (2) ◽  
pp. 119-124 ◽  
Author(s):  
Artur I. Milnerowicz ◽  
Aleksandra A. Milnerowicz ◽  
Marcin Protasiewicz ◽  
Wiktor Kuliczkowski
Keyword(s):  
Statistical Significance ◽  
Vascular Complications ◽  
Vascular Complication ◽  
Inguinal Region ◽  
Closure Device ◽  
Manual Compression ◽  
Direct Puncture ◽  
Endovascular Interventions ◽  
Vascular Closure Devices ◽  
Closure Group

Abstract. Background: Effectiveness of vascular closure devices during endovascular procedures requiring a direct puncture of a vascular prosthesis placed in the inguinal region is unknown. Patients and methods: The retrospective analysis included 134 patients with a history of polyethylene terephthalate (PETE) graft implantation in the inguinal region. In 20 (15 %) patients, haemostasis was achieved with manual compression, in 21 (16 %) with the StarClose™, and in 93 (69 %) with the AngioSeal™ device. Results: The incidence of vascular complications in the manual compression group was higher (at a threshold of statistical significance) than in the device closure group (45.0 vs. 24.5 %, p = 0.059). The difference was considered statistically significant when manual compression was compared with the AngioSeal™ closure group (45.0 vs. 13.9 %, p < 0.01). The vascular complication rate in the StarClose™ group was significantly higher than in the AngioSeal™ group (71.4 vs. 13.9 %, p < 0.000001). While haematomas were the only vascular complications observed after application of AngioSeal™, both haematomas and pseudoaneurysms were found in the StarClose™ group. Conclusions: The AngioSeal™ vascular closure device provides better local haemostasis than the StarClose™ device or manual compression during endovascular interventions requiring a direct puncture of PETE grafts

Endovascular Solutions for Iliac and Lower Extremity Junctional Injuries

2017 ◽  
Vol 1 (1) ◽  
pp. 22-27
Author(s):  
Edwin R Faulconer ◽  
Rachel M Russo ◽  
Anders J Davidson ◽  
Meryl A Simon ◽  
Erik S DeSoucy ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Open Surgery ◽  
Management Strategies ◽  
Balloon Occlusion ◽  
Vascular Injuries ◽  
Endovascular Management ◽  
Review Of The Literature ◽  
Junctional Zone ◽  
Endovascular Interventions ◽  
Direct Pressure

Hemorrhage is the second leading cause of death in trauma and non-compressible torso hemorrhage is the leading cause of preventable death within this population. Vascular injuries to the pelvis and lower extremity junctional zone may be difficult to control with direct pressure and complex to approach with open surgery. Endovascular interventions such as balloon occlusion, stenting and embolization are potential alternatives or adjuncts to traditional open surgery in patients with blunt or penetrating vascular injuries to the pelvis. This review of the literature will outline contemporary endovascular management strategies for iliac and junctional zone injuries.

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