Abstract
Arterial injury associated with central venous catheterization may be fatal and warrants appropriate management. We report a case of successful endovascular treatment for right subclavian artery injury secondary to central venous catheterization in a 49-year-old man with end-stage renal failure. We attempted insertion of a cuffed hemodialysis catheter through the right internal jugular vein; however, the catheter accidentally entered the right thoracic cavity and led to hemothorax. Contrast-enhanced computed tomography showed that the catheter crossed the right subclavian artery, and although we suspected arterial injury, we did not detect apparent extravasation. Therefore, we performed endovascular treatment for catheter removal. We observed a large amount of bleeding into the thoracic cavity after removal of the catheter and immediately deployed a stent graft into the right subclavian artery. Currently, guidelines are unavailable for treatment of vascular injuries caused by central venous catheters. Endovascular treatment may be a useful minimally invasive therapeutic option in such cases.
