Use of suture-mediated closure device system after inadvertent medport placement in the subclavian artery leading to multi-focal ischaemic infarct: a case report

Subclavian artery iatrogenic cannulation may lead to catastrophic outcomes, including stroke. A high level of suspicion for venous port misplacement must be entertained when ipsilateral multi-focal ischaemic infarct occurs in time relation to catheter placement. Conducting an endovascular catheter retrieval and using a suture-mediated closure device is an alternative approach to manual compression in locations where achieving an haemostasis is challenging. A suture-mediated closure device system might be useful for anatomy not amenable to manual compression, such as the subclavian artery.

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Publication Details

Journal
European Heart Journal - Case Reports
Published
2024-10-22
DOI
https://doi.org/10.1093/ehjcr/ytae565
Primary Topic
Coronary Interventions and Diagnostics
Type
article
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article

Use of suture-mediated closure device system after inadvertent medport placement in the subclavian artery leading to multi-focal ischaemic infarct: a case report

María Rodríguez-Santiago, Edwin Rodriguez‐Cruz
European Heart Journal - Case Reports
Coronary Interventions and Diagnostics
article

Use of suture-mediated closure device system after inadvertent medport placement in the subclavian artery leading to multi-focal ischaemic infarct: a case report

María Rodríguez-Santiago, Edwin Rodriguez‐Cruz
article en

Abstract

Subclavian artery iatrogenic cannulation may lead to catastrophic outcomes, including stroke. A high level of suspicion for venous port misplacement must be entertained when ipsilateral multi-focal ischaemic infarct occurs in time relation to catheter placement. Conducting an endovascular catheter retrieval and using a suture-mediated closure device is an alternative approach to manual compression in locations where achieving an haemostasis is challenging. A suture-mediated closure device system might be useful for anatomy not amenable to manual compression, such as the subclavian artery.

European Heart Journal - Case ReportsVol. 8(11)
University of Puerto Rico, Medical Sciences Campus (PR), Center for Advanced Studies on Puerto Rico and the Caribbean (PR)
Openalex Percentile: Top 66%
Coronary Interventions and Diagnostics
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