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Percutaneous Suture-Based Closure Device for Management of Inadvertent Subclavian Artery Catheterization
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À̼º¼ö(Lee Seong-Soo) - ¼º±Õ°ü´ëÇб³ ÀÇ°ú´ëÇÐ »ï¼º¼¿ïº´¿ø ³»°úÇб³½Ç
°íÀçÈÆ(Ko Jae-Hoon) - ¼º±Õ°ü´ëÇб³ ÀÇ°ú´ëÇÐ »ï¼º¼¿ïº´¿ø ³»°ú
ÀÓ°æ¼÷(Lim Kyung-Suk) - ¼º±Õ°ü´ëÇб³ ÀÇ°ú´ëÇÐ »ï¼º¼¿ïº´¿ø ³»°ú
½Å¹ü¼ö(Shin Beom-Su) - ¼º±Õ°ü´ëÇб³ ÀÇ°ú´ëÇÐ »ï¼º¼¿ïº´¿ø ³»°ú
ÀÌ°¡¿¬(Lee Ga-Yeon) - ¼º±Õ°ü´ëÇб³ ÀÇ°ú´ëÇÐ »ï¼º¼¿ïº´¿ø ³»°ú
ÃÖ½ÂÇõ(Choi Seung-Hyuk) - ¼º±Õ°ü´ëÇб³ ÀÇ°ú´ëÇÐ »ï¼º¼¿ïº´¿ø ³»°ú
Abstract
Central venous catheterization is performed to secure pathways for large amounts of saline, drug infusion, parenteral nutrition support, and hemodialysis. Accidental subclavian artery cannulation is a possible complication of central venous catheterization. Here, we report two cases of 8 Fr. chemoports inadvertently inserted in subclavian arteries during internal jugular venous catheterizations. The chemoports were removed successfully, and puncture sites were repaired using suture-based closure devices (Perclose). One patient experienced minor neurological complications after the procedure. With effective management, the patient was treated with no sequelae. To our knowledge, this is the first report of stroke after procedures using suture-based devices.
Å°¿öµå
Central venous catheterization, Subclavian artery, Perclose, Stroke
KMID :
0882420140870020200
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