Internal mammary artery injury complicating a Surfacer inside-out central venous catheterization

Kihoon Bohle; Bright Benfor; Simon J. Montelongo; Dylan E. Brooks; Eric Peden

doi:10.1016/j.jvscit.2023.101352

Internal mammary artery injury complicating a Surfacer inside-out central venous catheterization

Kihoon Bohle, Bright Benfor, Simon J. Montelongo, Dylan E. Brooks, Eric Peden

Research output: Contribution to journal › Article › peer-review

Abstract

We report the case of a near fatal arterial injury in a patient undergoing an inside-out catheter placement through an occluded central venous system using the Surfacer device (Bluegrass Vascular). The right internal mammary artery was inadvertently lacerated during the procedure, leading to cardiovascular collapse. The patient was rescued by transfusion, placement of a chest tube, and coil embolization of the right internal mammary artery. Postprocedure analysis of intraoperative cone beam computed tomography revealed that this injury was predictable on imaging, underscoring the need for advanced imaging guidance to enhance the safety of this procedure.

Original language	English (US)
Article number	101352
Pages (from-to)	101352
Journal	Journal of Vascular Surgery Cases and Innovative Techniques
Volume	9
Issue number	4
DOIs	https://doi.org/10.1016/j.jvscit.2023.101352
State	Published - Dec 2023

Keywords

CVC complications
Central venous catheter
Dialysis access
ESRD
Hemodialysis
Hemothorax
Inside-out
RIMA
Surfacer
TDC

ASJC Scopus subject areas

Surgery
Cardiology and Cardiovascular Medicine

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10.1016/j.jvscit.2023.101352

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title = "Internal mammary artery injury complicating a Surfacer inside-out central venous catheterization",

abstract = "We report the case of a near fatal arterial injury in a patient undergoing an inside-out catheter placement through an occluded central venous system using the Surfacer device (Bluegrass Vascular). The right internal mammary artery was inadvertently lacerated during the procedure, leading to cardiovascular collapse. The patient was rescued by transfusion, placement of a chest tube, and coil embolization of the right internal mammary artery. Postprocedure analysis of intraoperative cone beam computed tomography revealed that this injury was predictable on imaging, underscoring the need for advanced imaging guidance to enhance the safety of this procedure.",

keywords = "CVC complications, Central venous catheter, Dialysis access, ESRD, Hemodialysis, Hemothorax, Inside-out, RIMA, Surfacer, TDC",

author = "Kihoon Bohle and Bright Benfor and Montelongo, {Simon J.} and Brooks, {Dylan E.} and Eric Peden",

note = "Funding Information: The editors and reviewers of this article have no relevant financial relationships to disclose per the Journal policy that requires reviewers to decline review of any manuscript for which they may have a conflict of interest. Publisher Copyright: {\textcopyright} 2023 The Author(s)",

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AU - Montelongo, Simon J.

AU - Brooks, Dylan E.

AU - Peden, Eric

N1 - Funding Information: The editors and reviewers of this article have no relevant financial relationships to disclose per the Journal policy that requires reviewers to decline review of any manuscript for which they may have a conflict of interest. Publisher Copyright: © 2023 The Author(s)

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AB - We report the case of a near fatal arterial injury in a patient undergoing an inside-out catheter placement through an occluded central venous system using the Surfacer device (Bluegrass Vascular). The right internal mammary artery was inadvertently lacerated during the procedure, leading to cardiovascular collapse. The patient was rescued by transfusion, placement of a chest tube, and coil embolization of the right internal mammary artery. Postprocedure analysis of intraoperative cone beam computed tomography revealed that this injury was predictable on imaging, underscoring the need for advanced imaging guidance to enhance the safety of this procedure.

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Internal mammary artery injury complicating a Surfacer inside-out central venous catheterization

Abstract

Keywords

ASJC Scopus subject areas

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