TITLE:
Viabahn Stent Graft for Inadvertent Insertion of a Central Venous Catheter in the Subclavian Artery
AUTHORS:
Yuchen Cao, Masaaki Koide, Masakazu Watanabe
KEYWORDS:
Central Venous Catheter Insertion, Iatrogenic Subclavian Artery Injury, Viabahn Stent Graft, Endovascular Treatment, Surgical Techniques
JOURNAL NAME:
World Journal of Cardiovascular Diseases,
Vol.12 No.7,
July
25,
2022
ABSTRACT: Subclavian artery (SCA) injuries associated with central venous catheter (CVC)insertion are uncommon yet lethal complications that typically require surgical treatment. This case report presents the case of a 94-year-old man with an iatrogenic right SCA injury resulting from a misplaced CVC.Computed tomography revealed the catheter piercing the right internal jugularvein to enter the right SCA and then reaching the aortic arch. Emergent endovascular treatment was performed, and a 13-mm × 50-mm self-expanding Viabahn stent graft (W.L. Gore & Associates, Flagstaff, AZ, USA) was placed via the right brachial artery. The misplaced catheter was successfully removed undersimultaneous postdeployment balloon dilatation. This case highlights the utilityof the Viabahn stent graft for iatrogenic right SCA injury caused by a misplaced CVC and presents some insights and tips for a safer procedure.