Managing iatrogenic subclavian artery cannulation using a vascular closure device: a minimally invasive option

Inadvertent line insertion into the subclavian artery is an uncommon complication of subclavian venous catheterisation, and its timely recognition is vital to minimise risk of harm to the patient. We describe the radiographic, computed tomographic (CT), and angiographic findings in two patients and illustrate the subsequent endovascular management using collagen vascular closure devices.

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Percutaneous femoral cannulation and decannulation using a plug-based vascular closure device in minimally invasive cardiac surgery

10.1510/mmcts.2020.075 ◽

2020 ◽

Keyword(s):

Cardiac Surgery ◽

Mitral Valve ◽

Minimally Invasive ◽

Extracorporeal Circulation ◽

Minimally Invasive Cardiac Surgery ◽

Closure Device ◽

Arterial Cannulation ◽

Vascular Closure Device ◽

Video Tutorial ◽

Percutaneous Cannulation

Minimally invasive cardiac surgery such as a mitral valve procedure requires femoral arterial cannulation for extracorporeal circulation. To avoid complications associated with surgical groin incisions, such as seromas and infections, percutaneous cannulation techniques can be used. This video tutorial illustrates percutaneous femoral cannulation and decannulation using a plug-based vascular closure device.

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Inadvertent subclavian artery cannulation and options for management

Vascular ◽

10.1177/1708538114534841 ◽

2014 ◽

Vol 23 (2) ◽

pp. 132-137 ◽

Cited By ~ 1

Author(s):

Albeir Y Mousa ◽

Shadi Abu-Halimah ◽

Aravinda Nanjundappa ◽

Ali F AbuRahma

Keyword(s):

Subclavian Artery ◽

Central Line ◽

Covered Stent ◽

Closure Device ◽

Anatomical Location ◽

Daily Routine ◽

Balloon Inflation ◽

Artery Cannulation ◽

Line Placement ◽

Select Group

Central line placement is an integral part of our daily routine and although it is necessary in a select group of patients, serious complications may occur in up to 10% of cases. Inadvertent placement in the subclavian artery is considered to be one of the most challenging complications to the vascular specialist, which is mainly due to its deep anatomical location. Several endovascular options are available and should be tailored to fit each scenario. Herein, we present different approaches for the management of three cases of inadvertent subclavian artery cannulation. The first patient was treated with a covered stent, the second with prolonged balloon inflation, and the third with a closure device.

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The MANTA Vascular Closure Device for Percutaneous Femoral Vessel Cannulation in Minimally Invasive Surgical Mitral Valve Repair

Innovations Technology and Techniques in Cardiothoracic and Vascular Surgery ◽

10.1177/1556984520956300 ◽

2020 ◽

Vol 15 (6) ◽

pp. 568-571

Author(s):

Karel M. Van Praet ◽

Markus Kofler ◽

Stephan Jacobs ◽

Volkmar Falk ◽

Axel Unbehaun ◽

...

Keyword(s):

Mitral Valve ◽

Minimally Invasive ◽

Mitral Valve Repair ◽

Closure Device ◽

Valve Repair ◽

Vascular Closure Device ◽

Arterial Access ◽

Minimally Invasive Surgical ◽

Posterior Mitral Leaflet ◽

Leaflet Prolapse

A 65-year-old Caucasian male was referred to our institution with severe mitral regurgitation due to posterior mitral leaflet prolapse. The patient underwent minimally invasive surgical mitral valve repair. Here we present the application of a new vascular closure device (MANTA) for percutaneous arterial access and closure.

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