Endovascular management of subclavian artery injury due to Hickman line insertion in a patient with coagulopathy.
Vascular injuries after insertion of a Hickman line in neck are not uncommon. We present a case report of a patient of acute myeloid leukaemia with coagulopathy, who underwent right Hickman line insertion by a radiologist. She sustained a life threatening right subclavian artery injury which was managed by deploying endovascular covered stent. We recommend open surgical technique for Hickman line insertion under these circumstances after correction of coagulopathy.
Sajid
Muhammad Shafique
MS
Department of Vascular Surgery and Radiology, Royal Free Hospital, Pond Street, Hampstead, London NW3 2QG.
Tibbhal
Jonathan
J
Hamilton
George
G
D000328:Adult; D001778:Blood Coagulation Disorders / Q000503:physiopathology*; D013504:Cardiovascular Surgical Procedures; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D002539:Cerebral Arterial Diseases / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D013348:Subclavian Artery / Q000293:injuries / Q000601:surgery*