Successful removal of a central venous catheter misplaced in the right subclavian artery using an intravascular stent: a case report

Abstract Background Cannulation of a central venous catheter is sometimes associated with serious complications. When arterial cannulation occurs, attention must be given to removal of a catheter. Case presentation A 62-year-old man was planned for emergency thoracic endovascular aortic repair. Afte...

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Main Authors: Haruka Yoshida, Shinichiro Ikemoto, Yasuyuki Tokinaga, Kanako Ejiri, Tomoyuki Kawamata
Format: Article
Language:English
Published: SpringerOpen 2021-02-01
Series:JA Clinical Reports
Subjects:
Online Access:https://doi.org/10.1186/s40981-021-00418-y
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author Haruka Yoshida
Shinichiro Ikemoto
Yasuyuki Tokinaga
Kanako Ejiri
Tomoyuki Kawamata
author_facet Haruka Yoshida
Shinichiro Ikemoto
Yasuyuki Tokinaga
Kanako Ejiri
Tomoyuki Kawamata
author_sort Haruka Yoshida
collection DOAJ
description Abstract Background Cannulation of a central venous catheter is sometimes associated with serious complications. When arterial cannulation occurs, attention must be given to removal of a catheter. Case presentation A 62-year-old man was planned for emergency thoracic endovascular aortic repair. After the induction of anesthesia, a central venous catheter was unintentionally inserted into the right subclavian artery. We planned to remove the catheter. Since we considered that surgical repair would be highly invasive for the patient, we decided to remove it using a percutaneous intravascular stent. A stent was inserted through the right axillary artery. The stent was expanded immediately after the catheter was removed. Post-procedural angiography revealed no leakage from the catheter insertion site and no occlusion of the right subclavian and vertebral arteries. There were no obvious hematoma or thrombotic complications. Conclusions A catheter that has been misplaced into the right subclavian artery was safely removed using an intravascular stent.
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spelling doaj.art-4c043e8a17104b119364b8296b7215eb2022-12-21T19:47:43ZengSpringerOpenJA Clinical Reports2363-90242021-02-01711310.1186/s40981-021-00418-ySuccessful removal of a central venous catheter misplaced in the right subclavian artery using an intravascular stent: a case reportHaruka Yoshida0Shinichiro Ikemoto1Yasuyuki Tokinaga2Kanako Ejiri3Tomoyuki Kawamata4Department of Anesthesiology, Wakayama Medical University School of MedicineDepartment of Anesthesiology, Wakayama Medical University School of MedicineDepartment of Anesthesiology, Wakayama Medical University School of MedicineDepartment of Anesthesiology, Wakayama Medical University School of MedicineDepartment of Anesthesiology, Wakayama Medical University School of MedicineAbstract Background Cannulation of a central venous catheter is sometimes associated with serious complications. When arterial cannulation occurs, attention must be given to removal of a catheter. Case presentation A 62-year-old man was planned for emergency thoracic endovascular aortic repair. After the induction of anesthesia, a central venous catheter was unintentionally inserted into the right subclavian artery. We planned to remove the catheter. Since we considered that surgical repair would be highly invasive for the patient, we decided to remove it using a percutaneous intravascular stent. A stent was inserted through the right axillary artery. The stent was expanded immediately after the catheter was removed. Post-procedural angiography revealed no leakage from the catheter insertion site and no occlusion of the right subclavian and vertebral arteries. There were no obvious hematoma or thrombotic complications. Conclusions A catheter that has been misplaced into the right subclavian artery was safely removed using an intravascular stent.https://doi.org/10.1186/s40981-021-00418-yCentral venous catheterIntravascular stentSubclavian arteryRemoval
spellingShingle Haruka Yoshida
Shinichiro Ikemoto
Yasuyuki Tokinaga
Kanako Ejiri
Tomoyuki Kawamata
Successful removal of a central venous catheter misplaced in the right subclavian artery using an intravascular stent: a case report
JA Clinical Reports
Central venous catheter
Intravascular stent
Subclavian artery
Removal
title Successful removal of a central venous catheter misplaced in the right subclavian artery using an intravascular stent: a case report
title_full Successful removal of a central venous catheter misplaced in the right subclavian artery using an intravascular stent: a case report
title_fullStr Successful removal of a central venous catheter misplaced in the right subclavian artery using an intravascular stent: a case report
title_full_unstemmed Successful removal of a central venous catheter misplaced in the right subclavian artery using an intravascular stent: a case report
title_short Successful removal of a central venous catheter misplaced in the right subclavian artery using an intravascular stent: a case report
title_sort successful removal of a central venous catheter misplaced in the right subclavian artery using an intravascular stent a case report
topic Central venous catheter
Intravascular stent
Subclavian artery
Removal
url https://doi.org/10.1186/s40981-021-00418-y
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