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Vascular and Endovascular Surgery
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The Use of Arterial Closure Devices for Incidental Arterial Injury

Melissa L. Kirkwood, MD

Section of Vascular Surgery, The University of Chicago, Chicago, Illinois

Carl-Magnus Wahlgren, MD, PhD

Section of Vascular Surgery, The University of Chicago, Chicago, Illinois

Tina R. Desai, MD

Section of Vascular Surgery, The University of Chicago, Chicago, Illinois, tdesai{at}surgery.bsd.uchicago.edu

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.

Key Words: arterial closure device • arterial puncture • central venous catherter injury

This version was published on October 1, 2008

Vascular and Endovascular Surgery, Vol. 42, No. 5, 471-476 (2008)
DOI: 10.1177/1538574408320173
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