Purpose: To evaluate the feasibility, efficacy, and safety of a temporary balloon tamponade technique for managing subclavian arterial injury secondary to inadvertent central venous catheter placement. Materials and methods: Patients with subclavian arterial injury caused by inadvertent placement of a central venous catheter (size range 7-F to 7.5-F) who were treated only with temporary balloon tamponade between February 2002 and October 2009 were included. A temporary balloon tamponade technique was used to treat 13 patients (6 men and 7 women; mean age 56.7 years; age range 2880 years). Technical success, total balloon inflation time, and complications were evaluated. Results: Technical success was achieved with the temporary balloon tamponade technique in 13 cases (100%). Eight patients were treated with one balloon inflation, and five patients with two inflations (mean inflations 1.4). The mean total balloon inflation time was 14 minutes ± 13. There was no recurrent bleeding, hematoma, or pseudoaneurysm that required additional interventional procedures or surgical repair. A thrombus was identified in the subclavian arterial lumen after removal of the balloon catheter in one case; however, the thrombus was nonocclusive and asymptomatic. Conclusions: Temporary balloon tamponade seems to be technically feasible and effective with a good safety profile in the management of subclavian arterial injury caused by inadvertent central venous catheter placement. Intraluminal thrombus can be an associated complication of the procedure.
All Science Journal Classification (ASJC) codes
- Radiology Nuclear Medicine and imaging
- Cardiology and Cardiovascular Medicine