Inadvertent arterial puncture involving the subclavian artery and the aorta during central venous catheterization: a case report

ConclusionUtilization of real-time ultrasound guidance via the subclavian approach could have allowed for direct visualization of needle insertion to the anatomical structures, guidewire location, and directionality, all of which can lead to decreased complications and improved cannulation success compared with the landmark technique. A leftward direction of the catheter seen on postprocedural X-rays should raise high suspicion of inadvertent catheter placement and immediate correction. This complication should have been prevented if ultrasound guidance had been used.
Source: Journal of Medical Case Reports - Category: General Medicine Source Type: research