A case of endovascular treatment for iatrogenic left vertebral artery injury due to central line catheter placement

Takashi Endo; Toshio Takayama; Masaru Kimura; Yasuaki Mochizuki; Ryosuke Taniguchi; Katsuyuki Hoshina

doi:10.1016/j.jvscit.2023.101368

A case of endovascular treatment for iatrogenic left vertebral artery injury due to central line catheter placement

J Vasc Surg Cases Innov Tech. 2023 Nov 24;10(2):101368. doi: 10.1016/j.jvscit.2023.101368. eCollection 2024 Apr.

Authors

Takashi Endo¹, Toshio Takayama¹, Masaru Kimura¹, Yasuaki Mochizuki¹, Ryosuke Taniguchi¹, Katsuyuki Hoshina¹

Affiliation

¹ Division of Vascular Surgery, Department of Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.

Abstract

We describe a case of endovascular treatment for an iatrogenic left vertebral artery injury after central line catheter placement in a 68-year-old male patient. The patient had a massive pulmonary embolism, and a Swan-Ganz catheter was required to monitor the patient's circulatory condition. However, the catheter was inserted into the left vertebral artery and passed through the left internal jugular vein. Endovascular treatment was indicated due to the patient's poor general health. Complete hemostasis was achieved, and the postoperative course was uneventful without neurologic deficits.

Keywords: Central line catheter; Iatrogenic left vertebral artery injury; Pulmonary embolism; Subclavian artery; Swan-Ganz catheter.

Publication types

Case Reports