Modified Trapdoor Exposure for Open Repair of Brachiocephalic Artery Branch Injury: Case Report

Central venous catheterization is associated with a wide spectrum of vascular complications, including inadvertent arterial puncture. We describe 2 cases of successful open surgical repair of iatrogenic cervicothoracic arterial injuries secondary to central venous catheterization. In both patients,...

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Veröffentlicht in:	Vascular and endovascular surgery 2008-10, Vol.42 (5), p.500-504
Hauptverfasser:	Wall, Michael L., Davies, Robert S. M., Simms, Malcolm H.
Format:	Artikel
Sprache:	eng
Schlagworte:	Angiography, Digital Subtraction Biological and medical sciences Blood and lymphatic vessels Brachiocephalic Trunk - diagnostic imaging Brachiocephalic Trunk - injuries Brachiocephalic Trunk - surgery Cardiology. Vascular system Catheterization, Central Venous - adverse effects Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous Female Humans Iatrogenic Disease Medical sciences Middle Aged Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Treatment Outcome Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels Vascular Surgical Procedures Wounds, Penetrating - diagnostic imaging Wounds, Penetrating - etiology Wounds, Penetrating - surgery
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Zusammenfassung:	Central venous catheterization is associated with a wide spectrum of vascular complications, including inadvertent arterial puncture. We describe 2 cases of successful open surgical repair of iatrogenic cervicothoracic arterial injuries secondary to central venous catheterization. In both patients, a novel transmanubrial approach was incorporated to expose and control the brachiocephalic artery.
ISSN:	1538-5744 1938-9116
DOI:	10.1177/1538574408320021