J-tip guide wire entrapment within the heart during central venous catheterization

2011 ◽  
Vol 16 (3) ◽  
pp. 438-440 ◽  
Author(s):  
Seok Hui Kang ◽  
Won Kyu Park ◽  
Jun Young Do ◽  
Kyu Hyang Cho ◽  
Jong Won Park ◽  
...  
CJEM ◽  
2007 ◽  
Vol 9 (02) ◽  
pp. 131-132 ◽  
Author(s):  
Michael B. Stone

ABSTRACT Real-time ultrasound guidance for central venous catheterization increases success and reduces procedural complications. I describe a case in which guide wire resistance was encountered and real-time ultrasound visualization of the guide wire facilitated correction of guide wire malposition. No additional passes of the introducer needle were necessary and the chances of inadvertent carotid artery puncture or pneumothorax were therefore reduced. The technique described here may prove valuable when guide wire resistance is encountered while placing a central venous catheter.


2013 ◽  
Vol 47 (3) ◽  
pp. 225-227 ◽  
Author(s):  
Yao Pey Yong ◽  
Said Abisi ◽  
Simon Whitaker ◽  
Bruce Braithwaite

2021 ◽  
Vol 8 (4) ◽  
pp. 54-57
Author(s):  
Abhijit Kumar ◽  
Parul Tripathi ◽  
Suman Tiwari ◽  
Malvika Gupta ◽  
Amit Kohli ◽  
...  

 Central venous catheterization (CVC) is a routine procedure in patients admitted in Intensive Care Units (ICU) worldwide. Most commonly, seldinger technique is being practiced irrespective of the site of insertion. Though considered very safe, guide wire related complications have been reported in the literature and incidence has increased in the COVID era where intensivists have to work in personal protective equipment (PPE).  We are reporting about a patient of severe COVID-19, admitted in ICU. His right femoral venous catheterization was done to start vasopressors. The guide wire accidentally slipped inside the femoral vein during the procedure. It was immediately detected and managed with the assistance of interventional radiologist under fluoroscopic guidance. Complications like misplacement of guide wire can be catastrophic during CVC. We have discussed the measures that can prevent or reduce such complications while working in PPE in COVID ICUs.


2018 ◽  
Vol 4 (2) ◽  
pp. 87-90
Author(s):  
Lalit Kumar Rajbanshi ◽  
Shambhu Bahadur Karki ◽  
Batsalya Arjyal

Central venous catheterization is one of the common procedures used for gaining vascular access for various indications. Sometimes, the catheter can take unusual course inside the vein that can lead to erroneous pressure measurement, increase the risk of thrombosis or trauma to the vessel. Any resistance during insertion of the guide wire or catheter and absence of blood aspiration are some alarming signs that help to detect malposition at the earliest moment. We report a case of coiling of the shaft of the central venous catheter inside left sublacvian vein in a patient with head injury. Technical expertise, sound knowledge of anatomical landmarks and use of real time ultrasound can minimize malposition of the catheter. We suggest at any moment if there is resistance during insertion of guide wire or catheter or if there is absence of blood aspiration from any of the lumen, the catheter should be removed immediately suspecting malposition.Journal of Society of Anesthesiologists of NepalVol. 4, No. 2, 2017, page: 87-90 


2016 ◽  
Vol 88 (11) ◽  
pp. E795-E796
Author(s):  
Jayamanee Govindasamy ◽  
Thavenesh Ramachandren ◽  
Keith Hussey ◽  
Michael Wilks

2016 ◽  
Vol 1 (1) ◽  

Central venous catheterization (CVC) is a routine technique done in critical care and emergency departments for monitoring patients and giving certain parenteral medications in special conditions. Most common complications associated with CVCs are infection, hematoma, hemothorax, pneumothorax and superior or inferior vena cava trauma while rare complications include cardiac arrhythmias, air embolism and loss of the guide wire [1].


2017 ◽  
Vol 27 (3) ◽  
pp. 342-347 ◽  
Author(s):  
Jade M. Hardy ◽  
Jennifer L. Lansdowne ◽  
Carol A. Himsel ◽  
Sean R. Freer

Sign in / Sign up

Export Citation Format

Share Document