Inadvertent Arterial Placement of Central Venous Catheters: Systematic Review and Guidelines for Treatment.

Journal Article (Journal Article;Systematic Review)

Inadvertent arterial placement of central venous catheters carries serious sequelae, including pseudoaneurysm development and stroke. Although numerous strategies for therapeutic repair after arterial injury have been employed, no treatment provides a definitive standard of care. All articles published between January 2000 and July 2018 involving the placement of central venous catheters in the brachiocephalic or subclavian arteries, carotid artery, vertebral artery, and aortic arch and subsequent treatment were systematically reviewed. Arterial repair consisted of manual pressure, endovascular techniques (balloon tamponade, percutaneous closure devices, and covered stent placement), and open surgery. Success rates favored endovascular techniques and surgery over manual compression.

Full Text

Duke Authors

Cited Authors

  • Dornbos, DL; Nimjee, SM; Smith, TP

Published Date

  • November 2019

Published In

Volume / Issue

  • 30 / 11

Start / End Page

  • 1785 - 1794

PubMed ID

  • 31530491

Electronic International Standard Serial Number (EISSN)

  • 1535-7732

Digital Object Identifier (DOI)

  • 10.1016/j.jvir.2019.05.017


  • eng

Conference Location

  • United States