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The Journal of Cardiovascular Surgery 2008 June;49(3):345-50

Copyright © 2008 EDIZIONI MINERVA MEDICA

lingua: Inglese

Use of percutaneous closure devices in the removal of central venous catheters from inadvertent arterial catheterizations

Guimaraes M., Uflacker R., Schonholz C., Hannegan C., Selby B.

Interventional Radiology Heart and Vascular Center Medical University of South Carolina Charleston, SC, USA


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Although rare, misplacement of central venous catheters in supra-aortic arteries is potentially fatal. Five patients had safe catheters removal using percutaneous closure devices. Three patients were coagulopathic, 3 under intensive care and 1 in immediate postoperative limb amputation. Patients were treated successfully, with immediate hemostasis and without complications in a mean follow-up of 12.5 months. Although the number of patients is small, the closure devices proved to be safe. This is a minimally invasive alternative technique in the management of large bore catheters removed from non-compressible puncture sites such as subclavian and brachiocephalic arteries.

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