Management of the Left Subclavian Artery with Thoracic Endovascular Aortic Repair

Abstract

the vein from the adjacent artery whether carotid or femoral; after proper sterilization, the transducer center was placed over the center of the vein. Cannulation is then performed using classic Seldinger technique. Results: Cannulation was successful in 98.2% of cases. Right IJV was always attempted first followed by left IJV followed by either femoral with no preference. There was no significant difference in technical success between the two groups. Carotid puncture happened in nine cases, eight neonates, and one pediatric patient in whom the catheter was applied to the artery and developed a transient ischemic attack after antibiotic injection to the artery which resolved spontaneously. One case developed hemopneumothorax treated by chest tube application and also resolved. Conclusion: Ultrasound-guided CV line is rather safe and feasible compared with published series on blind technique with higher overall success and a lower rate of complications.