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Case Reports in Medicine
Volume 2009 (2009), Article ID 728629, 3 pages
http://dx.doi.org/10.1155/2009/728629
Case Report

Ease of Using a Dedicated Percutaneous Closure Device after Inadvertent Cannulation of the Subclavian Artery: Case Report

1Department of Cardiology, CHU Brugmann, 1020 Brussels, Belgium
2Department of Critical Care, CHU Brugmann, 1020 Brussels, Belgium

Received 6 March 2009; Accepted 24 May 2009

Academic Editor: Jean-Louis Vincent

Copyright © 2009 Arnaud Devriendt et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Inadvertent puncture of the subclavian artery is a relatively frequent and potentially disastrous complication of attempted central venous access. Due to its noncompressible location, accidental subclavian arterial cannulation may result in hemorrhage as the sheath is removed. We report a new case of successful percutaneous closure of the subclavian artery which had been inadvertently cannulated, using a closure device based on a collagen plug (Angio-Seal, St. Jude Medical). This was performed in a patient who had received maximal antiplatelet and anticoagulation therapies because of prior coronary stenting in the context of cardiogenic shock. There was no prior angiographic assessment, as arterial puncture was presumed to have been distal to the right common artery and vertebral arteries. No complications were observed in this high-risk patient, suggesting that this technique could be used once the procedure has been evaluated prospectively.