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Case Report
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Korean J Med. 2014;87(2):200-204. Published online August 1, 2014.
DOI: https://doi.org/10.3904/kjm.2014.87.2.200
- 실수로 설치된 쇄골하동맥 카테터에 대한 경피적 혈관 봉합매개기구 이용
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이성수, 고재훈, 임경숙, 신범수, 이가연, 최승혁
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성균관대학교 의과대학 삼성서울병원 내과학교실
- Percutaneous Suture-Based Closure Device for Management of Inadvertent Subclavian Artery Catheterization
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Seong Soo Lee, Jaehoon Ko, Kyung-Suk Lim, Beomsu Shin, Ga Yeon Lee, Seung-Hyuk Choi
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Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
- Corresponding author: Seung-Hyuk Choi ,Tel: +82-2-3410-3419, Fax: +82-2-3410-3849, Email: sh1214.choi@samsung.com
- Received: August 8, 2013; Revised: September 1, 2013 Accepted: September 5, 2013.
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- Abstract
- Central venous catheterization is performed to secure pathways for large amounts of saline, drug infusion, parenteral nutrition support, and hemodialysis. Accidental subclavian artery cannulation is a possible complication of central venous catheterization. Here, we report two cases of 8 Fr. chemoports inadvertently inserted in subclavian arteries during internal jugular venous catheterizations. The chemoports were removed successfully, and puncture sites were repaired using suture-based closure devices (Perclose). One patient experienced minor neurological complications after the procedure. With effective management, the patient was treated with no sequelae. To our knowledge, this is the first report of stroke after procedures using suture-based devices.
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