Skip to main content
Log in

Successful Interventional Management for Subclavian Artery Injury Secondary to Internal Jugular Catheterization: A Report of Two Cases

  • Case Report
  • Published:
CardioVascular and Interventional Radiology Aims and scope Submit manuscript

Abstract

Central venous cannulation through the right internal jugular vein is a widely used technique, and complications due to this procedure are very rare. We report two cases of right massive hemothorax due to inadvertent puncture of a right subclavian artery. Digital subtraction angiography demonstrated a perforated subclavian artery in both cases. These were successfully treated with transcatheter arterial embolization for the bleeding points of the right subclavian arteries.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Oropello JM, Leibowitz AB, Manasia A et al (1996) Dilator-associated complication of central vein catheter insertion: possible mechanism of injury and suggestion for prevention. J Cardiothorac Vasc Anesth 10:634–637

    Article  CAS  PubMed  Google Scholar 

  2. Kim J, Ahn W, Bahk JH (2003) Hemomediastinum resulting from subclavian artery laceration during internal jugular catheterization. Anesth Analg 97:1257–1259

    Article  PubMed  Google Scholar 

  3. Kulvatunyou N, Heard SO, Bankey PE (2002) A subclavian artery injury, secondary to internal jugular vein cannulation, is a predictable right-sided phenomenon. Anesth Analg 95:564–566

    Article  PubMed  Google Scholar 

  4. Huddy SPJ, McEwan A, Sabbat J, Parker DJ (1989) Giant false aneurysm of the subclavian artery: an unusual complication of internal jugular venous cannulation. Anaesthesia 44:588–589

    Article  CAS  PubMed  Google Scholar 

  5. Powell H, Beechey PG (1990) Internal jugular catheterisation: case report of a potentially fatal hazard. Anaesthesia 45:458–459

    Article  CAS  PubMed  Google Scholar 

  6. Jain U, Shah KB, Belusko RJ et al (1991) Subclavian artery laceration and acute hemothorax on attempted internal jugular vein cannulation. J Cardiothorac Vasc Anesth 5:608–610

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Hiroyuki Tokue.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Tokue, H., Tsushima, Y., Morita, H. et al. Successful Interventional Management for Subclavian Artery Injury Secondary to Internal Jugular Catheterization: A Report of Two Cases. Cardiovasc Intervent Radiol 32, 1268–1271 (2009). https://doi.org/10.1007/s00270-008-9497-z

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00270-008-9497-z

Keywords

Navigation