Temporary balloon tamponade for managing subclavian arterial injury by inadvertent central venous catheter placement.
J Vasc Interv Radiol
; 22(5): 654-9, 2011 May.
Article
em En
| MEDLINE
| ID: mdl-21514519
ABSTRACT
PURPOSE:
To evaluate the feasibility, efficacy, and safety of a temporary balloon tamponade technique for managing subclavian arterial injury secondary to inadvertent central venous catheter placement. MATERIALS ANDMETHODS:
Patients with subclavian arterial injury caused by inadvertent placement of a central venous catheter (size range 7-F to 7.5-F) who were treated only with temporary balloon tamponade between February 2002 and October 2009 were included. A temporary balloon tamponade technique was used to treat 13 patients (6 men and 7 women; mean age 56.7 years; age range 28-80 years). Technical success, total balloon inflation time, and complications were evaluated.RESULTS:
Technical success was achieved with the temporary balloon tamponade technique in 13 cases (100%). Eight patients were treated with one balloon inflation, and five patients with two inflations (mean inflations 1.4). The mean total balloon inflation time was 14 minutes ± 13. There was no recurrent bleeding, hematoma, or pseudoaneurysm that required additional interventional procedures or surgical repair. A thrombus was identified in the subclavian arterial lumen after removal of the balloon catheter in one case; however, the thrombus was nonocclusive and asymptomatic.CONCLUSIONS:
Temporary balloon tamponade seems to be technically feasible and effective with a good safety profile in the management of subclavian arterial injury caused by inadvertent central venous catheter placement. Intraluminal thrombus can be an associated complication of the procedure.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Artéria Subclávia
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Cateterismo Venoso Central
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Cateteres de Demora
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Oclusão com Balão
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Lesões do Sistema Vascular
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Hemorragia
Tipo de estudo:
Etiology_studies
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Evaluation_studies
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Adult
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Aged
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Aged80
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Female
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Humans
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Male
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Middle aged
País como assunto:
America do norte
Idioma:
En
Ano de publicação:
2011
Tipo de documento:
Article