Subclavian artery pseudoaneurysm complicating central venous catheterization: endovascular treatment with Amplatzer Vascular Plug 4 and covered stent.
Central venous catheterization is a routine vascular access procedure; however, it may be associated with life-threatening complications such as arterial puncture, leading to pseudoaneurysm formation. We report a case of a 41-year-old female that developed an iatrogenic left subclavian pseudoaneurysm complicating the attempt of left internal jugular vein cannulation for temporary hemodialysis therapy. The patient underwent urgent endovascular treatment with deployment of covered stent into the left subclavian artery (SCA) after embolization of the origin of the left internal mammary artery with Amplatzer Vascular Plug 4. The patient's recovery was unremarkable. Follow-up till 24 months reveals total exclusion of the pseudoaneurysm of the left SCA with patency of the distal branches.
Department of Radiology and Interventional Radiology, IRCCS San Martino University Hospital - IST - National Institute for Cancer Research, Largo Rosanna Benzi 10, 16132, Genova, Italy.
Umberto G
UG
Rossi
Francesco
F
Petrocelli
Carlo
C
Ferro
D000328:Adult; D017541:Aneurysm, False / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D000800:Angioplasty, Balloon / Q000295:instrumentation*; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D004621:Embolization, Therapeutic / Q000295:instrumentation*; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D007601:Jugular Veins; D061330:Multidetector Computed Tomography; D011474:Prosthesis Design; D006435:Renal Dialysis; D015607:Stents; D013348:Subclavian Artery / Q000000981:diagnostic imaging / Q000293:injuries* / Q000503:physiopathology; D013997:Time Factors; D016896:Treatment Outcome; D014654:Vascular Patency; D057772:Vascular System Injuries / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*
Amplatzer Vascular Plug; central venous catheter; endovascular treatment; pseudoaneurysm; stent; subclavian artery