Endovascular management of type B aortic dissection after attempted central venous catheterization. uri icon

Overview

abstract

  • A 41-year-old woman, status postmastectomy for breast cancer had an attempted 8-F left subclavian vein chemotherapy port placed in her. She developed severe upper back pain radiating to the left shoulder. A computed tomographic scan and angiography revealed catheter placement in the left subclavian artery and a type B aortic dissection. A thoracic stent-graft was used to treat the aortic dissection. While removing the catheter, a covered stent was deployed to seal the arterial puncture and a balloon-expandable stent was placed over a persistent subclavian dissection. This case illustrates an example of the feasibility of endovascular management to treat serious iatrogenic access complications.

publication date

  • May 31, 2011

Research

keywords

  • Aortic Aneurysm
  • Aortic Dissection
  • Blood Vessel Prosthesis Implantation
  • Catheterization, Central Venous
  • Endovascular Procedures
  • Subclavian Artery
  • Vascular System Injuries

Identity

Scopus Document Identifier

  • 80052750976

Digital Object Identifier (DOI)

  • 10.1016/j.avsg.2011.02.037

PubMed ID

  • 21621378

Additional Document Info

volume

  • 25

issue

  • 7