Endovascular management of subclavian artery injury due to Hickman line insertion in a patient with coagulopathy.

J Pak Med Assoc

Department of Vascular Surgery and Radiology, Royal Free Hospital, Pond Street, Hampstead, London NW3 2QG.

Published: June 2008

Vascular injuries after insertion of a Hickman line in neck are not uncommon. We present a case report of a patient of acute myeloid leukaemia with coagulopathy, who underwent right Hickman line insertion by a radiologist. She sustained a life threatening right subclavian artery injury which was managed by deploying endovascular covered stent. We recommend open surgical technique for Hickman line insertion under these circumstances after correction of coagulopathy.

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