scholarly journals Guide Wire Induced Cardiac Tamponade: The Soft J Tip Is Not So Benign

2016 ◽  
Vol 2016 ◽  
pp. 1-2 ◽  
Author(s):  
Sankalp Dwivedi ◽  
Fayez Siddiqui ◽  
Milan Patel ◽  
Shaun Cardozo
Keyword(s):  
Pericardial Effusion ◽  
Central Venous Catheter ◽  
Cardiac Tamponade ◽  
Guide Wire ◽  
Rare Complication ◽  
Venous Catheter ◽  
Transthoracic Echocardiogram ◽  
Central Venous ◽  
Clinical Stabilization

Central venous catheter (CVC) insertion rarely causes cardiac tamponade due to perforation. Although it is a rare complication, it can be lethal if not identified early. We report a case of cardiac tamponade caused by internal jugular (IJ) central venous catheter (CVC) insertion using a soft J-tipped guide wire which is considered safe and rarely implicated with cardiac tamponade. A bedside transthoracic echocardiogram (TTE) revealed a pericardial effusion with tamponade. An emergent bedside pericardiocentesis was done revealing bloody fluid and resulted in clinical stabilization.

Fatal Cardiac Tamponade After Central Venous Catheter Insertion: What Is the Safe Length of Guide-Wire?

CHEST Journal ◽  
2013 ◽  
Vol 144 (4) ◽  
pp. 299A
Author(s):  
Rakesh Vadde ◽  
Meenakshi Ghosh ◽  
Saurav Pokharel ◽  
Setu Patolia ◽  
Dharani Narendra ◽  
...  
Keyword(s):  
Central Venous Catheter ◽  
Cardiac Tamponade ◽  
Guide Wire ◽  
Venous Catheter ◽  
Catheter Insertion ◽  
Central Venous Catheter Insertion ◽  
Central Venous

scholarly journals Immediate Removal of an Entrapped Central Venous Catheter Guide Wire

2019 ◽  
Vol 120 (1) ◽  
pp. 18-23
Author(s):  
Jan Bruthans ◽  
Stanislav Trča
Keyword(s):  
Central Venous Catheter ◽  
Guide Wire ◽  
Rare Complication ◽  
Relevant Literature ◽  
Venous Catheter ◽  
Central Venous Line ◽  
Seldinger Technique ◽  
Surgical Removal ◽  
Central Venous ◽  
The Right

Extravasal guide wire entrapment due to fraying during central venous catheter placement using the Seldinger technique is a rare complication, which should be resolved as soon as possible. A 68-year-old male was scheduled for open right-side decortication. After the induction of general anesthesia, an attempt was made to place a central venous line in the right subclavian vein. However, the guide wire was entrapped extravasally between the right clavicle and the first rib. The exact site was located by palpating the bend of the guide wire in the subclavian triangle and the thoracic surgeon was available. Therefore, it was decided not to try to visualize the guide wire any further and to immediately proceed with surgical removal of the guide wire. The platysma muscle was dissected allowing access to the subclavian triangle. Venotomy of the external jugular vein was performed and the entrapped guide wire was removed via the venotomy. The whole complication was resolved within 30 minutes and the primary procedure was then performed. Managing rare complications of central venous line placement requires skill, ingenuity and, sometimes, interdisciplinary cooperation, either with a radiologist or a surgeon. The decision to proceed with immediate surgical removal of the guide wire proved a right one, and, to the best of our knowledge, such a strategy has not been described in the relevant literature to date.

An intra-aortic guide wire: what “knot” to do

2019 ◽  
Vol 30 (2) ◽  
pp. 273-274
Author(s):  
Yoshio Ootaki ◽  
Gregory A. Ross ◽  
Kristen A. Zeller
Keyword(s):  
Central Venous Catheter ◽  
Guide Wire ◽  
Rare Complication ◽  
Venous Catheter ◽  
Catheter Placement ◽  
Central Venous ◽  
Central Venous Catheter Placement

AbstractWe report a rare complication of central venous catheter placement in a 5-month-old baby.

scholarly journals Cardiac tamponade: a rare complication of central venous catheter – a clinical case report

2018 ◽  
Vol 68 (1) ◽  
pp. 104-108
Author(s):  
Ana Catarina Azevedo ◽  
Isabel Flor de Lima ◽  
Vânia Brito ◽  
Maria João Centeno ◽  
Antero Fernandes
Keyword(s):  
Case Report ◽  
Central Venous Catheter ◽  
Cardiac Tamponade ◽  
Clinical Case ◽  
Rare Complication ◽  
Venous Catheter ◽  
Central Venous

scholarly journals Guide-wire replacement of a mini-midline catheter with a central venous catheter: A retrospective study on 63 cases

2020 ◽  
pp. 112972982094406
Author(s):  
Lucio Brugioni ◽  
Elisabetta Bertellini ◽  
Mirco Ravazzini ◽  
Marco Barchetti ◽  
Andrea Borsatti ◽  
...  
Keyword(s):  
Central Venous Catheter ◽  
Guide Wire ◽  
Case Series ◽  
Venous Catheter ◽  
Venous Access ◽  
Late Complications ◽  
Central Catheter ◽  
Central Venous ◽  
Single Lumen ◽  
Thrombotic Complications

Background: Achieving a reliable venous access in a particular subset of patients and/or in emergency settings can be challenging and time-consuming. Furthermore, many hospitalized patients do not meet the criteria for central venous catheter positioning, unless an upgrade of the treatment is further needed. The mini-midline catheter has already showed to be reliable and safe as a stand-alone device, since it is easily and rapidly inserted and can indwell up to 1 month. Methods: In this further case series, we retrospectively evaluated data from 63 patients where a previously inserted mini-midline catheter was upgraded to a central venous catheter (the devices inserted in the arm replaced by peripherally inserted central catheter and others inserted “off-label” in the internal jugular replaced by single lumen centrally inserted central catheter), being used as introducer for the Seldinger guidewire. Results: The guidewire replacement was been made even early (after 1 day) or late (more than 10 days), usually following a need for an upgrade in treatment. No early or late complications were reported. Conclusion: According to the preliminary data we collected, this converting procedure seems to be feasible and risk-free, since neither infectious nor thrombotic complications were reported.

Secondary Migration of a Central Venous Catheter: A Rare Complication

2004 ◽  
Vol 5 (1) ◽  
pp. 36-38 ◽  
Author(s):  
M. Caruselli ◽  
G. Pieroni ◽  
A. Franceschi ◽  
F. Santelli ◽  
P. Bechi ◽  
...  
Keyword(s):  
Central Venous Catheter ◽  
Rare Complication ◽  
Venous Catheter ◽  
Central Venous ◽  
Secondary Migration
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