Subclavian Artery Pseudoaneurysm Following Bedside Temporary Hemodialysis Catheter Insertion: A Case Report

Medicina (Kaunas). 2023 Nov 19;59(11):2038. doi: 10.3390/medicina59112038.

Abstract

A pseudoaneurysm of the subclavian artery following central venous catheter placement is a rare but potentially fatal complication that often requires surgical intervention. However, surgical repair of the subclavian artery remains challenging. Herein, we report the case of a male patient undergoing hemodialysis who developed a pseudoaneurysm of the subclavian artery after a bedside central vein catheter placement. Hemostasis was successfully achieved by selecting the pseudoaneurysm using a microcatheter. At the 10-month follow-up, the pseudoaneurysm was completely excluded, and the patient was in a stable condition. The patient underwent native arteriovenous fistula creation and hemodialysis. Endovascular treatment could be an effective nonsurgical treatment for subclavian artery pseudoaneurysms and has been attempted as a first-line treatment option.

Keywords: embolization; pseudoaneurysm; subclavian; temporary hemodialysis catheter.

Publication types

  • Case Reports

MeSH terms

  • Aneurysm, False* / etiology
  • Aneurysm, False* / therapy
  • Catheterization, Central Venous* / adverse effects
  • Catheters / adverse effects
  • Humans
  • Male
  • Renal Dialysis / adverse effects
  • Subclavian Artery

Grants and funding

This research received no external funding.