title: Successful management and long term outcome of an accidental subclavian artery injury with a 9 french dilator during pacemaker implantation with collagen-based closure device.
abstract: Subclavian artery puncture and dilation with 9 Fr dilator during pacemaker implantation is a rare complication. We present a case, where this complication occurred and the injury was sealed with collagen-based closure device without any complications. Long term follow-up and the control angio-CT revealed no further late vascular complications. Therefore, use of a collagen based closure device for treating accidental iatrogenic subclavian artery injury can be a simple, successful alternative therapy when surgical direct vascular repair is not possible or not available.
authors.affiliation: Heart Center, Semmelweis University, 1122 Városmajor u. 68, Budapest, Hungary.
authors.forename: Levente
authors.initials: L
authors.lastname: Molnár
authors.forename: Gábor
authors.initials: G
authors.lastname: Szucs
authors.forename: Endre
authors.initials: E
authors.lastname: Zima
authors.forename: Szabolcs
authors.initials: S
authors.lastname: Szilágyi
authors.forename: Valentina
authors.initials: V
authors.lastname: Kutyifa
authors.forename: Dávid
authors.initials: D
authors.lastname: Becker
authors.forename: László
authors.initials: L
authors.lastname: Gellér
authors.forename: Béla
authors.initials: B
authors.lastname: Merkely
mesh_terms: D000368:Aged; D004106:Dilatation / Q000009:adverse effects*; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D013348:Subclavian Artery / Q000293:injuries*; D013812:Therapeutics; D014950:Wounds, Penetrating / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*