Subclavian Artery Pseudoaneurysm Following Bedside Temporary Hemodialysis Catheter Insertion: A Case Report
Sang-Woo Kim,
In-Chul Nam,
Doo-Ri Kim,
Jeong-Jae Kim,
Sung-Eun Park
Affiliations
Sang-Woo Kim
Department of Radiology, School of Medicine, Jeju National University, Jeju National University Hospital, 15, Aran 13-gil, Jeju 63241, Republic of Korea
In-Chul Nam
Department of Radiology, School of Medicine, Jeju National University, Jeju National University Hospital, 15, Aran 13-gil, Jeju 63241, Republic of Korea
Doo-Ri Kim
Department of Radiology, School of Medicine, Jeju National University, Jeju National University Hospital, 15, Aran 13-gil, Jeju 63241, Republic of Korea
Jeong-Jae Kim
Department of Radiology, School of Medicine, Jeju National University, Jeju National University Hospital, 15, Aran 13-gil, Jeju 63241, Republic of Korea
Sung-Eun Park
Department of Radiology, School of Medicine, Gyeongsang National University, Gyeongsang National University Changwon Hospital, 11 Samjeongja-ro, Changwon 51472, Republic of Korea
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.
