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First published on July 11, 2008
Vascular and Endovascular Surgery 2008, doi:10.1177/1538574408320173


Article

The Use of Arterial Closure Devices for Incidental Arterial Injury

Melisaa L. Kirkwood, MD, Carl-Magnus Wahlgren, MD, PhD, and Tina R. Desai, MD*

* To whom correspondence should be addressed. E-mail: Tdesai{at}surgery.bsd.uchicago.edu.


   Abstract
Incidental arterial injury is one of the main mechanical complications associated with central venous catheter placement. These injuries can result in significant morbidity and mortality. The use of arterial closure devices to repair these injuries offers a less invasive alternative than open repair and a safer approach than manual compression. We present 3 cases of critically ill patients treated with arterial closure devices when attempted central venous catheterization failed and inadvertent arterial cannulation occurred. A brief review of the various closure devices and there indications is discussed.


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