Use of the StarClose device for closure of inadvertent subclavian artery punctures.
OBJECTIVE
The placement of central catheters is a common procedure. It is also associated with multiple known complications. One of the potential complications that carry high morbidity and morality is arterial puncture and cannulation. Herein, we describe five case reports of a central line that was inadvertently placed in the subclavian artery and successfully removed using a StarClose device (Abbott Laboratories, Redwood CA).


RESULTS
A retrospective chart review of a prospectively maintained database was performed. We identified five cases of inadvertent subclavian artery cannulation during central venous catheter placement. All catheters were removed successfully either in the operating room under fluoroscopic guidance or at the bedside with closure of the arteriotomy using the StarClose device. No cases required conversion to an open procedure for repair. No postremoval hematomas, bleeding episodes, myocardial infarctions, arrhythmias, or adverse clinical sequelae were identified.


CONCLUSIONS
Based on our limited experience, we feel that this method can be performed safely and expeditiously not only in the operating room but also at the bedside.
Tran
Victor
V
Division of Vascular Surgery, Maimonides Medical Center, Brooklyn, New York 11219, USA.
Shiferson
Alexander
A
Hingorani
Anil P
AP
Ascher
Enrico
E
Marks
Natalie
N
Gopal
Kapil
K
Patel
Nirav
N
Jacob
Theresa
T
D000328:Adult; D000369:Aged, 80 and over; D021721:Balloon Occlusion; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D020878:Device Removal; D004867:Equipment Design; D005260:Female; D006470:Hemorrhage / Q000209:etiology / Q000517:prevention & control*; D006489:Hemostatic Techniques / Q000295:instrumentation*; D006801:Humans; D008297:Male; D011859:Radiography; D012189:Retrospective Studies; D013348:Subclavian Artery / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D016896:Treatment Outcome; D014950:Wounds, Penetrating / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*