Management of arterial trauma during central venous catheter insertion using a percutaneous suture-mediated closure device (Perclose ProGlide): a report of two cases and literature review
1Division of Vascular Surgery, Department of Surgery, College of Medicine, King Saud University, 11322 Riyadh, Saudi Arabia
2Division of Vascular Surgery, Department of Surgery, Dammam Medical Complex, 32245 Dammam, Saudi Arabia
3Division of Vascular Surgery, Department of Surgery, King Fahd Central Hospital, 82511 Jazan, Saudi Arabia
4Division of Vascular Surgery, Department of Surgery, King Fahad Specialist Hospital, 52535 Buraydah, Saudi Arabia
DOI: 10.22514/sv.2023.115 Vol.19,Issue 6,November 2023 pp.201-206
Submitted: 15 October 2022 Accepted: 13 December 2022
Published: 08 November 2023
We evaluated the safest approach to treat catheter-related cervicothoracic arterial injuries by reviewing two inadvertent arterial injury cases during central venous catheter insertion and their related complications at an intensive care unit. In the first case, C-arm angiography confirmed accidental catheter placement in the right subclavian artery (SCA). In the second case, accidental catheter placement in the right common carotid artery was confirmed via computed tomography angiography of the neck and chest. The catheter was connected to a high-pressure arterial bag in both cases. The Perclose ProGlide Suture-Mediated Closure System (Abbott Laboratories, IL, USA) was used and successfully operated the two cases of iatrogenic SCA and carotid artery injuries. A follow-up bedside ultrasound at 2 and 6 hours postoperatively revealed normal Doppler waveforms in the inadvertent arterial injury and distal arteries without hematoma at the puncture site in both cases. In conclusion, for inadvertent artery puncture, which occurs in <12% of jugular and subclavian venous procedures, the endovascular approach using a covered stent appears to be safe for treating the accidental catheter placement in the carotid artery, although some cases of post-procedure stroke have been reported. In this regard, the percutaneous arterial suture device (Perclose ProGlide) offers an almost 100% success rate and lowers morbidity and mortality rates compared with open surgical and endovascular approaches for treating iatrogenic SCA and carotid artery injuries. These two cases highlight the effectiveness of minimally invasive percutaneous arterial closure devices in treating this infrequent but potentially lethal injury.
Inadvertent puncture; Central venous catheter; Percutaneous arterial closure device
Sultan AlSheikh,Mohammed Yousef Aldossary,Rafat Najeeb,Nasser Saleh Alwehaibi,Kaisor Iqbal. Management of arterial trauma during central venous catheter insertion using a percutaneous suture-mediated closure device (Perclose ProGlide): a report of two cases and literature review. Signa Vitae. 2023. 19(6);201-206.
 Lorenzo JF, Rey JV, Arquillo IL, Encisa de Sá JM. Off-label use of Proglide percutaneous closure device in iatrogenic arterial catheterizations: our experience. Vascular. 2020; 28: 756–759.
 Ezaru CS, Mangione MP, Oravitz TM, Ibinson JW, Bjerke RJ. Eliminating arterial injury during central venous catheterization using manometry. Anesthesia & Analgesia. 2009; 109: 130–134.
 Park TK, Yang JH, Choi S. Endovascular repair using suture-mediated closure devices and balloon tamponade following inadvertent subclavian artery catheterization with large-caliber hemodialysis catheter. Korean Circulation Journal. 2016; 46: 584.
 du Toit DF, Lambrechts AV, Stark H, Warren BL. Long-term results of stent graft treatment of subclavian artery injuries: management of choice for stable patients? Journal of Vascular Surgery. 2008; 47: 739–743.
 Gabrielli R, Rosati MS, Cristofani D, Vitale S, Siani A. Inadvertent carotid artery cannulation by dialysis catheter. The Journal of Vascular Access. 2012; 13: 126–127.
 Urban T, Wappler F, Sakka SG. Intra-arterial ECG leads of a positive P-wave potential during central venous catheterization. Anasthesiol Intensivmed Notfallmed Schmerzther. 2011; 46: 94–97. (In German)
 Nicholson T, Ettles D, Robinson G. Managing inadvertent arterial catheterization during central venous access procedures. CardioVascular and Interventional Radiology. 2004; 27: 21–25.
 Bowdle A. Vascular complications of central venous catheter placement: evidence-based methods for prevention and treatment. Journal of Cardiothoracic and Vascular Anesthesia. 2014; 28: 358–368.
 Guilbert MC, Elkouri S, Bracco D, Corriveau MM, Beaudoin N, Dubois MJ, et al. Arterial trauma during central venous catheter insertion: case series, review and proposed algorithm. Journal of Vascular Surgery. 2008; 48: 918–925; discussion 925.
 Kirkwood ML, Wahlgren CM, Desai TR. The use of arterial closure devices for incidental arterial injury. Vascular and Endovascular Surgery. 2008; 42: 471–476.
 Moller SM, Logason K, Karason S, Thorisson HM. Percutaneous thrombin injection of common carotid artery pseudoaneurysm without cerebral protection. Texas Heart Institute Journal. 2012; 39: 696–698.
 Shah PM, Babu SC, Goyal A, Mateo RB, Madden RE. Arterial misplacement of large-caliber cannulas during jugular vein catheterization: case for surgical management. Journal of the American College of Surgeons. 2004; 198: 939–944.
 Slama M, Novara A, Safavian A, Ossart M, Safar M, Fagon JY. Improvement of internal jugular vein cannulation using an ultrasound-guided technique. Intensive Care Medicine. 1997; 23: 916–919.
 Sznajder JI, Zveibil FR, Bitterman H, Weiner P, Bursztein S. Central vein catheterization: failure and complication rates by three percutaneous approaches. Archives of Internal Medicine. 1986; 146: 259–261.
 Schwartz AJ, Jobes DR, Greenshow DE, Stephenson LW, Ellison N. Carotid artery puncture with internal jugular cannulation. Anesthesiology. 1979; 51: S160.
 Reuber M, Dunkley LA, Turton EPL, Bell MDD, Bamford JM. Stroke after internal jugular venous cannulation. Acta Neurologica Scandinavica. 2002; 105: 235–239.
 Heath K, Woulfe J, Lownie S, Pelz D, Munoz D, Mezon B. A devastating complication of inadvertent carotid artery puncture. Anesthesiology. 1998; 89: 1273–1275.
 Zaidi NA, Khan M, Naqvi HI, Kamal RS. Cerebral infarct following central venous cannulation. Anaesthesia. 1998; 53: 186–191.
 Szkup PL. A minimally invasive technique for closing an iatrogenic subclavian artery cannulation using the Angio-Seal closure device: two case reports. Journal of Medical Case Reports. 2012; 6: 82.
 Wallace MJ, Ahrar K. Percutaneous closure of a subclavian artery injury after inadvertent catheterization. Journal of Vascular and Interventional Radiology. 2001; 12: 1227–1230.
 Berlet MH, Steffen D, Shaughness G, Hanner J. Closure using a surgical closure device of inadvertent subclavian artery punctures during central venous catheter placement. CardioVascular and Interventional Radiology. 2001; 24: 122–124.
 Fraizer MC, Chu WW, Gudjonsson T, Wolff MR. Use of a percutaneous vascular suture device for closure of an inadvertent subclavian artery puncture. Catheterization and Cardiovascular Interventions. 2003; 59: 369–371.
 Bechara CF, Barshes NR, Pisimisis G, Kougias P, Lin PH. Management of inadvertent carotid artery sheath insertion during central venous catheter placement. JAMA Surgery. 2013; 148: 1063.
 Lee WA, Brown MP, Nelson PR, Huber TS, Seeger JM. Midterm outcomes of femoral arteries after percutaneous endovascular aortic repair using the Perclose technique. Journal of Vascular Surgery. 2008; 47: 919–923.
 Pikwer A, Acosta S, Kölbel T, Malina M, Sonesson B, Akeson J. Management of inadvertent arterial catheterization associated with central venous access procedures. European Journal of Vascular and Endovascular Surgery. 2009; 38: 707–714.
Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,200 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.
Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.
Chemical Abstracts Service Source Index The CAS Source Index (CASSI) Search Tool is an online resource that can quickly identify or confirm journal titles and abbreviations for publications indexed by CAS since 1907, including serial and non-serial scientific and technical publications.
Index Copernicus The Index Copernicus International (ICI) Journals database’s is an international indexation database of scientific journals. It covered international scientific journals which divided into general information, contents of individual issues, detailed bibliography (references) sections for every publication, as well as full texts of publications in the form of attached files (optional). For now, there are more than 58,000 scientific journals registered at ICI.
Geneva Foundation for Medical Education and Research The Geneva Foundation for Medical Education and Research (GFMER) is a non-profit organization established in 2002 and it works in close collaboration with the World Health Organization (WHO). The overall objectives of the Foundation are to promote and develop health education and research programs.
Scopus: CiteScore 1.0 (2022) Scopus is Elsevier's abstract and citation database launched in 2004. Scopus covers nearly 36,377 titles (22,794 active titles and 13,583 Inactive titles) from approximately 11,678 publishers, of which 34,346 are peer-reviewed journals in top-level subject fields: life sciences, social sciences, physical sciences and health sciences.
Embase Embase (often styled EMBASE for Excerpta Medica dataBASE), produced by Elsevier, is a biomedical and pharmacological database of published literature designed to support information managers and pharmacovigilance in complying with the regulatory requirements of a licensed drug.