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Subclavian Artery Injury, Vertebral Artery Dissection, and Arteriovenous Fistulae following Attempt at Central Line Placement

Subclavian Artery Injury, Vertebral Artery Dissection, and Arteriovenous Fistulae following... Vertebral artery dissection and arteriovenous fistulas are uncommon complications of vascular access and angiographic procedures. There are several cases of iatrogenic vertebral artery dissection secondary to central line placement reported in the literature. Only a few iatrogenic arteriovenous fistulae have been reported, but none also involving the dissection of the vertebral artery. In each of these cases, the fistulae were treated by direct ligation of the fistulous communication. We present an unusual case of an iatrogenic arteriovenous fistula and vertebral artery dissection as a result of left subclavian central line placement. The left subclavian artery and associated fistula were successfully repaired using a self-expanding endovascular graft. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Annals of Vascular Surgery Springer Journals

Subclavian Artery Injury, Vertebral Artery Dissection, and Arteriovenous Fistulae following Attempt at Central Line Placement

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References (12)

Publisher
Springer Journals
Copyright
Copyright © Inc. by 2002 Annals of Vascular Surgery
Subject
Medicine & Public Health; Abdominal Surgery
ISSN
0890-5096
eISSN
1615-5947
DOI
10.1007/s10016-001-0196-3
pmid
12415482
Publisher site
See Article on Publisher Site

Abstract

Vertebral artery dissection and arteriovenous fistulas are uncommon complications of vascular access and angiographic procedures. There are several cases of iatrogenic vertebral artery dissection secondary to central line placement reported in the literature. Only a few iatrogenic arteriovenous fistulae have been reported, but none also involving the dissection of the vertebral artery. In each of these cases, the fistulae were treated by direct ligation of the fistulous communication. We present an unusual case of an iatrogenic arteriovenous fistula and vertebral artery dissection as a result of left subclavian central line placement. The left subclavian artery and associated fistula were successfully repaired using a self-expanding endovascular graft.

Journal

Annals of Vascular Surgery – Springer Journals

Published: Dec 6, 2002

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