Percutaneous closure of accidentally subclavian artery catheterization: time to change first line approach?
Abstract Purpose To present our experience and provide a literature review dissertation about the use of a suture-mediated percutaneous closure device (Perclose Proglide -PP- Abbott Vascular Inc., Santa Clara, CA, USA) to achieve hemostasis for unintended subclavian arterial catheterization during c...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2022-05-01
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| Series: | CVIR Endovascular |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s42155-022-00300-7 |
| _version_ | 1828228204534431744 |
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| author | Andrea Discalzi Claudio Maglia Fernanda Ciferri Andrea Mancini Lorenzo Gibello Marco Calandri Gianfranco Varetto Paolo Fonio |
| author_facet | Andrea Discalzi Claudio Maglia Fernanda Ciferri Andrea Mancini Lorenzo Gibello Marco Calandri Gianfranco Varetto Paolo Fonio |
| author_sort | Andrea Discalzi |
| collection | DOAJ |
| description | Abstract Purpose To present our experience and provide a literature review dissertation about the use of a suture-mediated percutaneous closure device (Perclose Proglide -PP- Abbott Vascular Inc., Santa Clara, CA, USA) to achieve hemostasis for unintended subclavian arterial catheterization during central venous line placement. Materials & methods Since October 2020, we have successfully treated four consecutive patients with a central venous catheter (8 to 12 French) in the subclavian artery. In each patient, we released a PP, monitoring its efficacy by performing a subclavian angiogram and placing, as a rescue strategy, an 8 mm balloon catheter near the entry point of the misplaced catheter. Primary outcome is technical and clinical success. Technical success is defined as absence of bleeding signs at completion angiography, while clinical success is a composite endpoint defined as absence of hematoma, hemoglobin loss at 12 and 24 h, and absence of procedure-related reintervention (due to vessel stenosis, pseudoaneurysm or distal embolization). Results Technical success was obtained in 75% of cases. In one patient a mild extravasation was resolved after 3 min of balloon catheter inflation. No early complications were observed for all patients. Conclusions PP showed a safe and effective therapeutic option in case of unintentional arterial cannulation. It can be considered as first-line strategy, as it does not preclude the possibility to use other endovascular approaches in case of vascular closure device failure. |
| first_indexed | 2024-04-12T18:18:02Z |
| format | Article |
| id | doaj.art-7e9d7124e3024d5eac820ce2c951ed57 |
| institution | Directory Open Access Journal |
| issn | 2520-8934 |
| language | English |
| last_indexed | 2024-04-12T18:18:02Z |
| publishDate | 2022-05-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | CVIR Endovascular |
| spelling | doaj.art-7e9d7124e3024d5eac820ce2c951ed572022-12-22T03:21:32ZengSpringerOpenCVIR Endovascular2520-89342022-05-01511410.1186/s42155-022-00300-7Percutaneous closure of accidentally subclavian artery catheterization: time to change first line approach?Andrea Discalzi0Claudio Maglia1Fernanda Ciferri2Andrea Mancini3Lorenzo Gibello4Marco Calandri5Gianfranco Varetto6Paolo Fonio7Department of Surgical Sciences Radiology unit, University of TorinoDepartment of Surgical Sciences Radiology unit, University of TorinoDepartment of Surgical Sciences Radiology unit, University of TorinoDepartment of Surgical Sciences Radiology unit, University of TorinoDepartment of Surgical Sciences, Division of Vascular Surgery, University of TorinoDepartment of Surgical Sciences Radiology unit, University of TorinoDepartment of Surgical Sciences, Division of Vascular Surgery, University of TorinoDepartment of Surgical Sciences Radiology unit, University of TorinoAbstract Purpose To present our experience and provide a literature review dissertation about the use of a suture-mediated percutaneous closure device (Perclose Proglide -PP- Abbott Vascular Inc., Santa Clara, CA, USA) to achieve hemostasis for unintended subclavian arterial catheterization during central venous line placement. Materials & methods Since October 2020, we have successfully treated four consecutive patients with a central venous catheter (8 to 12 French) in the subclavian artery. In each patient, we released a PP, monitoring its efficacy by performing a subclavian angiogram and placing, as a rescue strategy, an 8 mm balloon catheter near the entry point of the misplaced catheter. Primary outcome is technical and clinical success. Technical success is defined as absence of bleeding signs at completion angiography, while clinical success is a composite endpoint defined as absence of hematoma, hemoglobin loss at 12 and 24 h, and absence of procedure-related reintervention (due to vessel stenosis, pseudoaneurysm or distal embolization). Results Technical success was obtained in 75% of cases. In one patient a mild extravasation was resolved after 3 min of balloon catheter inflation. No early complications were observed for all patients. Conclusions PP showed a safe and effective therapeutic option in case of unintentional arterial cannulation. It can be considered as first-line strategy, as it does not preclude the possibility to use other endovascular approaches in case of vascular closure device failure.https://doi.org/10.1186/s42155-022-00300-7Subclavian artery injuriesCentral venous catheterisationEndovascular repairVascular closure device, Perclose Proglide |
| spellingShingle | Andrea Discalzi Claudio Maglia Fernanda Ciferri Andrea Mancini Lorenzo Gibello Marco Calandri Gianfranco Varetto Paolo Fonio Percutaneous closure of accidentally subclavian artery catheterization: time to change first line approach? CVIR Endovascular Subclavian artery injuries Central venous catheterisation Endovascular repair Vascular closure device, Perclose Proglide |
| title | Percutaneous closure of accidentally subclavian artery catheterization: time to change first line approach? |
| title_full | Percutaneous closure of accidentally subclavian artery catheterization: time to change first line approach? |
| title_fullStr | Percutaneous closure of accidentally subclavian artery catheterization: time to change first line approach? |
| title_full_unstemmed | Percutaneous closure of accidentally subclavian artery catheterization: time to change first line approach? |
| title_short | Percutaneous closure of accidentally subclavian artery catheterization: time to change first line approach? |
| title_sort | percutaneous closure of accidentally subclavian artery catheterization time to change first line approach |
| topic | Subclavian artery injuries Central venous catheterisation Endovascular repair Vascular closure device, Perclose Proglide |
| url | https://doi.org/10.1186/s42155-022-00300-7 |
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