Cureus · 5 authors, 1 centre
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A 62-year-old critically ill patient had a central venous catheter accidentally placed in the right common carotid artery, which was successfully removed using a Perclose ProGlide closure device. A literature review found only 16 patients treated with this technique, suggesting it is a viable minimally invasive option for unstable patients.
This case report and literature review describes a 62-year-old critically ill patient who developed inadvertent arterial catheterization of the right common carotid artery during central venous catheter placement. The misplaced catheter was successfully removed using a Perclose ProGlide (Abbott) vascular closure device. A systematic literature review identified only 16 patients in total treated with this percutaneous closure device technique for inadvertent CVC arterial placement. The authors describe this approach as a safe, quick, minimally invasive, and effective treatment option for misplaced catheters in frail or unstable patients that can be performed at bedside. The authors note this represents an off-label use of the device. Limitations include the small number of cases reported in the literature and the absence of comparative studies between closure devices and other treatment options.
