title: Modified trapdoor exposure for open repair of brachiocephalic artery branch injury: case report.
abstract: Central venous catheterization is associated with a wide spectrum of vascular complications, including inadvertent arterial puncture. We describe 2 cases of successful open surgical repair of iatrogenic cervicothoracic arterial injuries secondary to central venous catheterization. In both patients, a novel transmanubrial approach was incorporated to expose and control the brachiocephalic artery.
authors.affiliation: Department of Vascular Surgery, University Hospital Birmingham NHS Foundation Trust, Birmingham, UK. michael.wall@uhb.nhs.uk
authors.forename: Michael L
authors.initials: ML
authors.lastname: Wall
authors.forename: Robert S M
authors.initials: RS
authors.lastname: Davies
authors.forename: Malcolm H
authors.initials: MH
authors.lastname: Simms
mesh_terms: D015901:Angiography, Digital Subtraction; D016122:Brachiocephalic Trunk / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery*; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D008875:Middle Aged; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures; D014950:Wounds, Penetrating / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*