The use of arterial closure devices for incidental arterial injury.
Incidental arterial injury is one of the main mechanical complications associated with central venous catheter placement. These injuries can result in significant morbidity and mortality. The use of arterial closure devices to repair these injuries offers a less invasive alternative than open repair and a safer approach than manual compression. We present 3 cases of critically ill patients treated with arterial closure devices when attempted central venous catheterization failed and inadvertent arterial cannulation occurred. A brief review of the various closure devices and there indications is discussed.
Kirkwood
Melissa L
ML
Section of Vascular Surgery, The University of Chicago, Chicago, Illinois, USA.
Wahlgren
Carl-Magnus
CM
Desai
Tina R
TR
D000328:Adult; D020212:Carotid Artery Injuries / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D003422:Critical Care; D004867:Equipment Design; D005260:Female; D006470:Hemorrhage / Q000209:etiology / Q000517:prevention & control*; D006489:Hemostatic Techniques / Q000295:instrumentation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013348:Subclavian Artery / Q000000981:diagnostic imaging / Q000293:injuries*; D016896:Treatment Outcome; D018616:Ultrasonography, Doppler, Duplex; D014950:Wounds, Penetrating / Q000209:etiology / Q000628:therapy*