Knotting and Kinking of the Guidewire during Central Venous Catheterization: A Case Report.
10.4266/kjccm.2011.26.1.38
- Author:
Deokkyu KIM
1
;
Ji Hye LEE
;
Dong Chan KIM
;
Hyungsun LIM
;
Seonghoon KO
;
Ji Seon SON
Author Information
1. Department of Anesthesiology and Pain Medicine, Chonbuk National University Medical School, Jeonju, Korea. sjs6803@jbnu.ac.kr
- Publication Type:Case Report
- Keywords:
central venous catheterization;
complication;
guidewire
- MeSH:
Catheterization;
Catheterization, Central Venous;
Catheters;
Central Venous Catheters;
Critical Illness;
Fluoroscopy;
Humans;
Intensive Care Units;
Operating Rooms
- From:The Korean Journal of Critical Care Medicine
2011;26(1):38-40
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Central venous catheterization is often necessary to manage critically ill patients in the intensive care unit and some surgical patients in the operating room. However, this procedure can lead to various complications. We experienced a case of subclavian venous catheterization that was complicated by looping, kinking, knotting, and entrapment of the guidewire. We were able to identify the extravascular looping and knotting of the guidewire under fluoroscopy and consequently removed it successfully. We suggest that a guidewire should be confirmed by fluoroscopic imaging if it has become entrapped.
