Extravascular Central Venous Line Removal and Endovascular Covered Stent Implantation Guided by Three-Dimensional Computed Tomographic Reconstruction

Central venous lines (CVL) are often necessary in critically ill patients; however, insertion carries risk. Extravascular placement of CVLs can result in significant hemorrhage into low-pressure cavities, therefore careful planning must be made prior to removal to avoid uncontrolled bleeding and hemodynamic compromise. We present a unique case using endovascular covered stent implantation to address vessel injury in a critically ill child after extravascular CVL placement.