Technische Mitteilung: Fehlplatzierter 13F-Shaldonkatheter in der A. subclavia – kontrollierte Entfernung mit einem unterdimensionierten 8F-Kollagen-Verschlusssystem (AngioSeal®) und endovaskulärer Ballonfixation

Bovenschulte, H.; Chang, De‐Hua; Michels, Gina M.; Kochanek, Malgorzata A.; Liebig, Thomas; Bangard, Christopher

doi:10.1055/s-0031-1273448

Cited by 4 publications

(4 citation statements)

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“…7 Although successful hemostasis with an Angio-Seal™ device alone has been described in misplaced CVCs up to 11.5F size, several interventionalists prefer a balloon-supported insertion of Angio-Seal™ in the case of significant mismatch between the CVC and the 8F Angio-Seal to avoid dislocation of the anchor out of the vessel. 4,5,16 In the current study, closure of the arteriotomy site using an Angio-Seal™ was technically successful in all four cases in which there was no mismatch in size between the CVC and Angio-Seal™. Technical failure occurred in the one case in which the CVC with a size of approximately 11.5F was misplaced.…”

Section: Discussionsupporting

confidence: 53%

“…This failure might have been caused by dislocation of the undersized anchor out of the vessel and consequent extravascular placement of the Angio-Seal™. Therefore, in the case of a mismatch in diameter of the Angio-Seal™ and CVC, it might be beneficial to remove large-bore CVCs in a balloon-supported manner, as described by Bovenschulte et al 5 or at least to be prepared to perform a temporary balloon tamponade until successful closure (e.g. by stent placement) of the arteriotomy site.…”

Section: Discussionmentioning

confidence: 99%

“…2,3 In recent years, an endovascular approach using percutaneous closure devices (PCDs) has become increasingly favorable in cases of CVC misplacements in an artery. [4][5][6] One possible PCD is Angio-Seal™ (Terumo, Belgium): it is a collagen-based PCD, developed for the closure of retrograde arterial punctures of the common femoral artery. It is available in sizes of 6-French (F) and 8F.…”

Section: Introductionmentioning

confidence: 99%

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Erroneous placement of central venous catheters in subclavian artery: Retrieval and successful hemostasis with a femoral closure device

et al. 2021

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Background: Retrospective evaluation of the safety and efficacy of the retrieval of misplaced central venous catheters (CVCs) in subclavian arteries using the femoral closure device Angio-Seal™. Methods: The clinical data of five patients (female, n = 2; mean age, 55.0 years ± 11.9) in whom a misplaced CVC within a subclavian artery was removed followed by closure of the vessel entry site with 8-French (F) Angio-Seal™ was analyzed. Results: In 4/5 patients (80%; CVC diameter, 7-8F) the procedure was technically successful without complications. In 1/5 patients (20%; CVC diameter, 11.5F) the procedure failed and an additional covered stent was placed for successful closure of the vessel entry site. There were no complications associated with the Angio-Seal™ or stent implantation during follow-up. Conclusion: Retrieval of a misplaced CVC within a subclavian artery using the percutaneous closure device Angio-Seal™ is quite safe and effective; however, caution is required if there is a mismatch in the diameter of the Angio-Seal™ and CVC. In the case of procedure failure, successful closure of the vessel entry site can be achieved by covered stent placement.

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Section: Discussionsupporting

confidence: 53%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Erroneous placement of central venous catheters in subclavian artery: Retrieval and successful hemostasis with a femoral closure device

et al. 2021

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“…The database search returned 382 results out of which 32 studies [ 3 , 6 – 35 ] were eligible for inclusion in this review (Fig. 2 ) with a total of 69 patients having being studied (Table 1 ).…”

Section: Resultsmentioning

confidence: 99%

Closure Devices for Iatrogenic Thoraco-Cervical Vascular Injuries

Makris

Patel

Little

et al. 2016

Cardiovasc Intervent Radiol

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IntroductionThe unintentional arterial placement of a central venous line can have catastrophic complications. The purpose of this systematic review is to assess and analyse the available evidence regarding the use of the various vascular closure devices (VCDs) for the management of iatrogenic thoraco-cervical arterial injuries (ITCAI).MethodsA systematic review was performed according to PRISMA guidelines.ResultsThirty-two relevant case series and case reports were identified with a total of 69 patients having being studied. In the majority of the studies, plug-based VCDs were used (81%) followed by suture-based devices (19%). The majority of studies reported successful outcomes from the use of VCDs in terms of achieving immediate haemostasis without any acute complications. Long-term follow-up data were only available in nine studies with only one case of carotid pseudoaneurysm being reported after 1-month post-procedure. All other cases had no reported long-term complications. Five studies performed direct or indirect comparisons between VCDs and other treatments (open surgery or stent grafting) suggesting no significant differences in safety or effectiveness.ConclusionAlthough there is limited evidence, VCDs appear to be safe and effective for the management of ITCAIs. Further research is warranted regarding the effectiveness of this approach in comparison to surgery and in order to identify those patients who are more likely to benefit from this minimally invasive approach.

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