title: Delayed Presentation of Catheter-related Subclavian Artery Pseudoaneurysm.
abstract: Central venous catheterization is a common diagnostic and therapeutic procedure in modern clinical practice. Pseudoaneurysms of the subclavian artery are rare and usually occur immediately after the causative event, whether the cause was trauma or a medical procedure. Here, we report a case of a 71-year-old woman with delayed presentation of catheter-related subclavian pseudoaneurysm. The patient's symptoms began two weeks after the initial catheterization, probably because of slow leakage of blood from the injured subclavian artery caused by incomplete compression of the puncture site and uremic coagulopathy. She was successfully treated with ultrasound-guided thrombin and angiography-guided histoacryl injection without stent insertion or surgery.
authors.affiliation: Department of Internal Medicine, Chungbuk National University, Cheong-ju, Republic of Korea.
authors.forename: Kim
authors.initials: K
authors.lastname: M
authors.affiliation: Department of Internal Medicine, Chungbuk National University, Cheong-ju, Republic of Korea.
authors.forename: K
authors.initials: K
authors.lastname: Es
authors.affiliation: Department of Internal Medicine, Chungbuk National University, Cheong-ju, Republic of Korea.
authors.forename: Kim
authors.initials: K
authors.lastname: Hw
authors.affiliation: The Radiology, College of Medicine, Chungbuk National University, Cheong-ju, Republic of Korea.
authors.forename: Kim
authors.initials: K
authors.lastname: Y
authors.affiliation: The Radiology, College of Medicine, Chungbuk National University, Cheong-ju, Republic of Korea.
authors.forename: Kang
authors.initials: K
authors.lastname: Mh
authors.affiliation: Department of Internal Medicine, Chungbuk National University, Cheong-ju, Republic of Korea.
authors.forename: C
authors.initials: C
authors.lastname: Yj
authors.affiliation: Department of Internal Medicine, Chungbuk National University, Cheong-ju, Republic of Korea.
authors.forename: C
authors.initials: C
authors.lastname: Kh
authors.affiliation: Department of Internal Medicine, Chungbuk National University, Cheong-ju, Republic of Korea.
authors.forename: Lee
authors.initials: L
authors.lastname: Km
authors.affiliation: Department of Internal Medicine, Chungbuk National University, Cheong-ju, Republic of Korea.
authors.forename: An
authors.initials: A
authors.lastname: Jy
mesh_terms: D000368:Aged; D017541:Aneurysm, False / Q000000981:diagnostic imaging* / Q000209:etiology / Q000628:therapy; D000792:Angiography; D002405:Catheterization, Central Venous / Q000009:adverse effects; D062905:Central Venous Catheters / Q000009:adverse effects; D004659:Enbucrilate / Q000627:therapeutic use; D005260:Female; D006490:Hemostatics / Q000627:therapeutic use; D006801:Humans; D015552:Injections, Intralesional; D013348:Subclavian Artery / Q000000981:diagnostic imaging*; D013917:Thrombin / Q000627:therapeutic use; D014014:Tissue Adhesives / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography
chemical_list: D006490:Hemostatics; D014014:Tissue Adhesives; D013917:Thrombin; D004659:Enbucrilate
keywords: butyl 2-cyanacrylate; pseudoaneurysm; subclavian; thrombin.