Figure 10.

Acute left arm ischemia after a left axillary venous line was misplaced in the left axillary artery. (A) Subclavian angiogram shows the line with surrounding near occlusive thrombus (arrows). (B) Following overnight thrombolysis via the catheter, repeat subclavian angiogram shows a small amount of residual nonocclusive thrombus (arrow). The line was repositioned in the vein using a wire via the proximal side hole and the patient heparinized. Follow-up ultrasound showed no arteriovenous fistula, false aneurysm, or arterial occlusion.