Endovascular Repair of Inadvertent Vertebral Artery Puncture Using a Percutaneous Closure Device: A Rare Case Report

Abstract

Introduction: Central venous catheter insertion can lead to inadvertent major vessel injury, which is a rare complication for which covered stents are an effective solution for major vascular injuries requiring immediate hemostasis, especially when direct surgery is complicated by underlying medical or anatomical conditions. The aim of the present study was to report the technical success in the correction of inadvertent hemodialysis catheter injury in the right subclavian artery using an endovascular procedure with Perclose Proglide® devices. Case Presentation: We report on the case of a 54-year-old patient, with a previous diagnosis of transverse myelitis and bladder neoplasia. In preparation for the procedure, a 7Fr central venous catheter (CVC) one was implanted and in evolution hematoma was observed in the cervical region. A Doppler ultrasound was performed in bed and a central venous catheter was visualized in the right subclavian arteries, and arteriography was chosen for better endovascular investigation with the possibility of treatment. The option was endovascular treatment, which was successful and a better option than conventional surgery. Conclusion: The catheter was removed followed by occlusion using a percutaneous closure device (Perclose ProGlide®), with angiographic control without contrast extravasation and with occlusion of the right vertebral artery at the origin.