title: Use of percutaneous closure devices in the removal of central venous catheters from inadvertent arterial catheterizations.
abstract: Although rare, misplacement of central venous catheters in supra-aortic arteries is potentially fatal. Five patients had safe catheters removal using percutaneous closure devices. Three patients were coagulopathic, 3 under intensive care and 1 in immediate postoperative limb amputation. Patients were treated successfully, with immediate hemostasis and without complications in a mean follow-up of 12.5 months. Although the number of patients is small, the closure devices proved to be safe. This is a minimally invasive alternative technique in the management of large bore catheters removed from non-compressible puncture sites such as subclavian and brachiocephalic arteries.
authors.affiliation: Interventional Radiology, Heart and Vascular Center, Medical University of South Carolina, Charleston, SC, USA.
authors.forename: M
authors.initials: M
authors.lastname: Guimaraes
authors.forename: R
authors.initials: R
authors.lastname: Uflacker
authors.forename: C
authors.initials: C
authors.lastname: Schonholz
authors.forename: C
authors.initials: C
authors.lastname: Hannegan
authors.forename: B
authors.initials: B
authors.lastname: Selby
mesh_terms: D000328:Adult; D000368:Aged; D000671:Amputation, Surgical; D000792:Angiography; D000925:Anticoagulants / Q000008:administration & dosage / Q000009:adverse effects; D019917:Blood Vessel Prosthesis Implantation; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D003287:Contrast Media / Q000008:administration & dosage; D020878:Device Removal; D017809:Fatal Outcome; D005260:Female; D005263:Femoral Artery / Q000601:surgery; D006801:Humans; D007866:Leg / Q000601:surgery; D013348:Subclavian Artery / Q000601:surgery; D013921:Thrombocytopenia / Q000139:chemically induced; D020246:Venous Thrombosis / Q000188:drug therapy
chemical_list: D000925:Anticoagulants; D003287:Contrast Media