Endovascular Stenting for Inadvertent Right Subclavian Artery Puncture: A Case Report

Main Article Content

R. Kishen
C. H. Chia
K. Krishna
S. Lenny
Mohd Azim Idris
Nik Azuan


Though central venous catheterization is a fairly common procedure done in clinical settings, it is not without its own complications that could pose danger of morbidity and mortality to the patients. When arterial puncture is suspected, the catheter should be left in place and the Vascular Surgeon should be alerted. The definitive management could be via open surgical repair or endovascular intervention. We describe a case of inadvertent right subclavian artery puncture following right internal jugular vein catheterization that was successfully treated with endovascular intervention.

Central venous catheterization, subclavian artery puncture, subclavian artery stenting

Article Details

How to Cite
Kishen, R., Chia, C. H., Krishna, K., Lenny, S., Idris, M. A., & Azuan, N. (2021). Endovascular Stenting for Inadvertent Right Subclavian Artery Puncture: A Case Report. Asian Journal of Medical Case Reports, 3(2), 5-9. Retrieved from https://globalpresshub.com/index.php/AJMCR/article/view/1261
Case Reports


Tse A, Shick MA. Central line placement. [Updated 2020 Aug 15] In: StatPearls [Internet].Treasure Island (FL):StatPearls Publishing;2021 Jan.

Craig Kornbau KC. Central Line Complications. Int J Crit Illn Inj Sci. 2015 Jul-Sep;5(3):170-178.

Bowdle A. Vascular complications of central venous catheter placement: Evidence-based methods for prevention and treatment. J Cardiothoracic Vasc Anesth. 2014;28(2):358-368.

Guilbert MC, Elkouri S, Bracco D, et al. Arterial trauma during central venous catheter insertion; Case series, review and proposed algorithm. J Vasc Surg. 2008;48(4):918-925.

Triverdi B, Yadav A, Patil S. Management strategy for inadvertent arterial cannulation during central venous catheter insertion. J Anesth Crit Care Open Access. 2018;10(6):247-248.

Shah PM, Babu SC, Goyal A, Mateo RB, Madden RE. Arterial misplacement of large-caliber cannulas during jugular vein catheterization:Case for surgical management. J Am Coll Surg. 2004;198(6):939-944.

Bechara CF, Barshes NR, Pisimisis G, Kougias P, Lin PH. Management of inadvertent carotid artery sheath insertion during central venous catheter placement. JAMA Surg. 2013;148(11):1063-1066.

Ripal T. Gandhi, C. T. (2016, November 3). Management of inadvertent placement of a central line in the carotid artery with a closure device and embolic protection device. Retrieved from CathLab Digest. Available:https://www.cathlabdigest.com/article/Management- Inadvertent-Plcament-Central-Line-Carotid-Artery-Closure-Device-Embolic.

Demetriades D, Chahwan S, Gomez H, Peng R, Velmahos G, Murry J, et al. Penetrating injuries to the subclavian and axillary vessels. J Am Coll Surg. 1999;188:290-295.

Du Toit DF, Anton VL, Hugo S, Brian LW. Long-term results of stent graft treatment of subclavian artery injuries:Management of choice for stable patients? J Vasc Surg. 2008;47(4):739-743

Madan MM, Venkitaramanan A, Al-Ajmi AW, et al. Accidental arterial puncture during right internal jugular vein cannulation in cardiac surgical patients. Ann Card Anaesth. 2016 Oct- Dec;19(4):594-598.