MyJournals Home  

RSS FeedsA minimally invasive technique of closing an iatrogenic subclavian artery cannulation using the Angio-Seal closure device: two case reports (Journal of Medical Case Reports)

 
 

9 march 2012 16:37:12

 
A minimally invasive technique of closing an iatrogenic subclavian artery cannulation using the Angio-Seal closure device: two case reports (Journal of Medical Case Reports)
 




IntroductionIn two cases described here, a puncture of the subclavian artery, which had been inadvertently cannulated during unsuccessful access of the internal jugular vein, was successfully closed by using a closure device based on a collagen plug (Angio-Seal, St. Jude Medical, St. Paul, MN, USA). This technique is relatively simple and inexpensive. It can provide clinicians (intensive care physicians and anesthesiologists) with a safe and straightforward alternative to major surgery and can be a life-saving procedure.Case presentationDuring pre-operative preparation in a 66-year-old Caucasian man, an anesthetist attempted ultrasound-guided right internal jugular venous access. A 7-French (7F) triple-lumen catheter was inadvertently placed in the arterial system. In a second case, in a 77-year-old Caucasian woman, an emergency physician inadvertently placed a 7F catheter in the subclavian artery during right internal jugular vein access. By means of a closure device (Angio-Seal), both arterial punctures were successfully closed percutaneously. No complications were observed. Conclusions: Inadvertent subclavian arterial puncture can be successfully managed with no adverse clinical sequelae by using a percutaneous vascular closure device. This minimally invasive technique may be an option for patients with non-compressible arterial punctures. This article demonstrates two practical points that may help clinicians in decision making during daily practice. First, it provides a practical solution to a well-known vascular complication. Second, it emphasizes a role for proper vascular ultrasound training for the non-radiologist.


Del.icio.us Digg Facebook Google StumbleUpon Twitter
 
106 viewsCategory: Medicine
 
Particulate matter exposure during pregnancy is associated with birth weight, but not gestational age, 1962-1992: a cohort study (Environmental Health)
A systematic critical review on MRI in spondyloarthritis (Arthritis Research & Therapy)
 
 

The articles that are most similar to this article

 
3.68 09-03-2012 15:48:55 Multiple imputation for estimating hazard ratios and predictive abilities in ... (BMC Medical Research Methodology)
3.29 09-03-2012 15:18:29 Pneumococcal polyarticular septic arthritis after a single infusion of inflix... (Journal of Medical Case Reports)
2.83 09-03-2012 12:04:49 Cardiac arrest due to lymphocytic colitis: a case report (Journal of Medical Case Reports)
2.63 08-03-2012 19:05:45 `Workhood` - a useful concept for the analysis of health workers` resources? ... (BMC Health Services Research)
2.23 08-03-2012 18:07:29 Integration of a nationally procured electronic health record system into use... (BMC Medical Informatics and Decision Making)
1.71 09-03-2012 17:08:29 A systematic critical review on MRI in spondyloarthritis (Arthritis Research & Therapy)
1.53 09-03-2012 09:36:30 Comparative effectiveness research on patients with acute ischemic stroke usi... (BMC Medical Research Methodology)
1.45 09-03-2012 18:51:29 Herlyn-werner-wunderlich syndrome: MRI findings, radiological guide (two ca... (BMC Medical Imaging)
1.32 09-03-2012 15:15:54 Developing a nanoparticle test for prostate cancer scoring (Journal of Translational Medicine)
1.14 08-03-2012 22:21:06 Adoption of new drugs by physicians: a survival analysis (BMC Health Services Research)
1.02 09-03-2012 14:05:58 Towns with extremely low mortality due to ischemic heart disease in Spain (BMC Public Health)
 
blog comments powered by Disqus


MyJournals.org
The latest issues of all your favorite science journals on one page

Username:
Password:

Register | Retrieve

Search:

Medicine

Use these buttons to bookmark us:
Del.icio.us Digg Facebook Google StumbleUpon Twitter


Valid HTML 4.01 Transitional
Copyright © 2008 - 2014 Tim Hulsen, design by Indigonet Services B.V.
Other websites of Indigonet Services B.V.: Nieuws Vacatures News Tweets Travel Photos Nachrichten Indigonet Finances Leer Mandarijn Appartement Nijmegen Residence in France
Indigonet Services BV is not responsible for any incorrect or outdated information on this site.