{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T16:00:26Z","timestamp":1759334426450,"version":"build-2065373602"},"reference-count":18,"publisher":"MDPI AG","issue":"19","license":[{"start":{"date-parts":[[2025,9,30]],"date-time":"2025-09-30T00:00:00Z","timestamp":1759190400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.mdpi.com"],"crossmark-restriction":true},"short-container-title":["JCM"],"abstract":"<jats:p>Objective: The insertion of venous catheters into supra-aortic vessels is a standard procedure in the treatment of a large number of diseases. Incorrect placement of venous catheters into and accidental perforation of arterial vessels is a rare but serious complication that can lead to severe bleeding, dissections, and strokes. Materials and Methods: We present a case of iatrogenic malposition of a Broviac catheter into the right vertebral artery and its successful treatment through stenting of the perforation site using a Walrus balloon catheter to achieve a secure treatment position and eventually cover the perforation site. Additionally, we conducted a systematic literature review on endovascular rescue procedures in inadvertent injuries of the supra-aortic arteries related to venous catheter placement. Results: A balloon guide catheter was used to achieve a secure treatment position for the deployment of a stent graft covering the perforation site, ensuring no significant arterial hemorrhage occurred during the removal of the incorrectly placed Broviac catheter. The review of the literature on endovascular rescue procedures for supra-aortic arterial vessel damage caused by venous catheter placement revealed that endovascular treatment has been successful in all reported cases of catheter-related supra-aortic arterial injury. Primary stent graft placement without additional actions was the most common treatment approach. Conclusions: In the treatment of iatrogenic injuries to the supra-aortic vessels, endovascular treatment strategies represent a safe, reliable, and generally recognized option and thus are used much more frequently than surgical procedures. Key point: In rare cases of accidental malposition of venous catheters into supra-aortic arterial vessels, endovascular insertion of a stent graft covering the perforation site using a balloon guide catheter can be a safe treatment option.<\/jats:p>","DOI":"10.3390\/jcm14196945","type":"journal-article","created":{"date-parts":[[2025,9,30]],"date-time":"2025-09-30T15:38:55Z","timestamp":1759246735000},"page":"6945","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Rescue Procedure in a Rare Case of Iatrogenic Vertebral Artery Puncture and Review of the Literature"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6130-5906","authenticated-orcid":false,"given":"Jonas","family":"Brandt","sequence":"first","affiliation":[{"name":"University Clinic for Radiology, University of M\u00fcnster, University Hospital M\u00fcnster, Albert-Schweitzer-Campus 1, 48149 M\u00fcnster, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manfred","family":"Musigmann","sequence":"additional","affiliation":[{"name":"University Clinic for Radiology, University of M\u00fcnster, University Hospital M\u00fcnster, Albert-Schweitzer-Campus 1, 48149 M\u00fcnster, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9305-2824","authenticated-orcid":false,"given":"Burak Han","family":"Akkurt","sequence":"additional","affiliation":[{"name":"University Clinic for Radiology, University of M\u00fcnster, University Hospital M\u00fcnster, Albert-Schweitzer-Campus 1, 48149 M\u00fcnster, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"K\u00f6hler","sequence":"additional","affiliation":[{"name":"University Clinic for Radiology, University of M\u00fcnster, University Hospital M\u00fcnster, Albert-Schweitzer-Campus 1, 48149 M\u00fcnster, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2639-8400","authenticated-orcid":false,"given":"Hermann","family":"Kr\u00e4hling","sequence":"additional","affiliation":[{"name":"University Clinic for Radiology, Department for Interventional Neuroradiology, University of M\u00fcnster, University Hospital M\u00fcnster, Albert-Schweitzer-Campus 1, 48149 M\u00fcnster, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,9,30]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"101164","DOI":"10.1016\/j.jvscit.2023.101164","article-title":"Accidental Central Venous Catheter Cannulation into Aberrant Arterial Anatomy Requiring Endovascular Intervention","volume":"9","author":"Lucas","year":"2023","journal-title":"J. Vasc. Surg. Cases Innov. Tech."},{"key":"ref_2","first-page":"602","article-title":"A Silicone Rubber Atrial Catheter for Prolonged Parenteral Alimentation","volume":"136","author":"Broviac","year":"1973","journal-title":"Surg. Gynecol. Obs."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1097\/MPH.0000000000002463","article-title":"Surgical Experience Affects the Outcome of Central Venous Access Catheter Implantation in Children: A Retrospective Cohort Study","volume":"45","author":"Fritsch","year":"2023","journal-title":"J. Pediatr. Hematol. Oncol."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"262","DOI":"10.1136\/bmj.2.6132.262","article-title":"Long-Term Parenteral Nutrition","volume":"2","author":"Ladefoged","year":"1978","journal-title":"Br. Med. J."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"e30990","DOI":"10.1002\/pbc.30990","article-title":"Results of a Long-Term, Prospective Study on Complications of Central Venous Catheter in Pediatric Patients with Hematologic-Oncologic Diseases","volume":"71","author":"Garonzi","year":"2024","journal-title":"Pediatr. Blood Cancer"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"768","DOI":"10.1016\/j.jpedsurg.2017.01.036","article-title":"A Comparison of Broviac\u00ae and Peripherally Inserted Central Catheters in Children with Intestinal Failure","volume":"52","author":"Blotte","year":"2017","journal-title":"J. Pediatr. Surg."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"901","DOI":"10.1007\/s003300101018","article-title":"Life-Threatening Vascular Complications after Central Venous Catheter Placement","volume":"12","author":"Wicky","year":"2002","journal-title":"Eur. Radiol."},{"key":"ref_8","first-page":"706","article-title":"Inadvertent Subclavian Artery Catheter Placement Complicated by Stroke: Endovascular Management and Review","volume":"73","author":"Jahromi","year":"2009","journal-title":"Catheter. Cardiovasc. Interv."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"689","DOI":"10.1080\/20009666.2021.1952015","article-title":"Amidst COVID-19 Pandemic: The Catastrophic Sequelae of an Inadvertent Carotid Artery Insertion during Central Venous Catheter Placement\u2014A Case Report","volume":"11","author":"Nasrullah","year":"2021","journal-title":"J. Community Hosp. Intern. Med. Perspect."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"33","DOI":"10.5797\/jnet.cr.2020-0208","article-title":"Acute Endovascular Therapy for Iatrogenic Vertebral Artery Injury: A Case Report","volume":"16","author":"Ito","year":"2022","journal-title":"J. Neuroendovasc. Ther."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1177\/152660280301000113","article-title":"Elective and Emergent Endovascular Treatment of Subclavian Artery Aneurysms and Injuries","volume":"10","author":"Schoder","year":"2003","journal-title":"J. Endovasc. Ther."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1186\/s40981-023-00649-1","article-title":"Inadvertent Catheter Misplacement into the Subclavian Artery during Ultrasound-Guided Internal Jugular Venous Catheterization: A Case Report","volume":"9","author":"Kohyama","year":"2023","journal-title":"JA Clin. Rep."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1186\/s40981-021-00418-y","article-title":"Successful Removal of a Central Venous Catheter Misplaced in the Right Subclavian Artery Using an Intravascular Stent: A Case Report","volume":"7","author":"Yoshida","year":"2021","journal-title":"JA Clin. Rep."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"418","DOI":"10.5301\/jva.5000267","article-title":"Misplaced Central Venous Catheter in the Vertebral Artery: Endovascular Treatment of Foreseen Hemorrhage during Catheter Withdrawal","volume":"15","author":"Akkan","year":"2014","journal-title":"J. Vasc. Access"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"460","DOI":"10.1111\/j.1525-139X.2011.01005.x","article-title":"Angioplasty and Stenting of a Jugular-Carotid Fistula Resulting from the Inadvertent Placement of a Hemodialysis Catheter: Case Report and Review of Literature","volume":"25","author":"Wadhwa","year":"2012","journal-title":"Semin. Dial."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"e231751","DOI":"10.1136\/bcr-2019-231751","article-title":"Inadvertent Arterial Placement of Central Venous Catheter: Salvage Using Endovascular Treatment","volume":"12","author":"Shaw","year":"2019","journal-title":"BMJ Case Rep."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"E17","DOI":"10.1111\/hdi.12297","article-title":"Remove or Not, That Is the Question: A Case Report on Carotid Artery Cannulation during Indwelling Venous Hemodialysis Catheter","volume":"19","author":"Yen","year":"2015","journal-title":"Hemodial. Int."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"918","DOI":"10.1016\/j.jvs.2008.04.046","article-title":"Arterial Trauma during Central Venous Catheter Insertion: Case Series, Review and Proposed Algorithm","volume":"48","author":"Guilbert","year":"2008","journal-title":"J. Vasc. 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