Managing unintentional iatrogenic Triple Lumen Central Venous Catheter (TLCVC) arterial puncture

Unintentional arterial puncture by central venous catheter insertion/placing can result in destructive complications especially if a large bore (>7F) catheter was used. Unplanned immediate catheter ejection with manual external compression is hazardous due to potential torrential blood leakage or...

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Bibliographic Details
Main Authors: M. Shukor, Nurulfida’ Nusaiba, Abdul Rahim, Ezamin, Muda, Ahmad Sobri, Jamil, Hariati, Abduljabbar, Heamn N, Abdul Rahim, Ridzuan
Format: Article
Published: Longe Medikal 2021
Description
Summary:Unintentional arterial puncture by central venous catheter insertion/placing can result in destructive complications especially if a large bore (>7F) catheter was used. Unplanned immediate catheter ejection with manual external compression is hazardous due to potential torrential blood leakage or formation of a pseudoaneurysm. Endovascular removal with a vascular closure device deployment is preferred in this situation. The aim of this case report is to discuss the alternative strategies if the vascular closure device fails to secure hemostasis.