Percutaneous retrieval of malpositioned, kinked and unraveled guide wire under fluoroscopic guidance during central venous cannulation

The placement of central venous catheter using Seldinger's technique, remains a commonly performed procedure with its own risks and benefits. Various complications have been reported with the use of guide wire as well as catheter. We report a unique problem during subclavian vein cannulation du...

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Bibliographic Details
Published in:Journal of anaesthesiology, clinical pharmacology clinical pharmacology, 2014-04, Vol.30 (2), p.267-269
Main Authors: Jalwal, Gopal Krishan, Rajagopalan, Vanitha, Bindra, Ashish, Rath, Girija Prasad, Goyal, Keshav, Kumar, Atin, Gamanagatti, Shivanand
Format: Article
Language:English
Subjects:
Case Report
Case studies
Catheterization
Central venous cannulation
Central venous catheters
Complications and side effects
entrapment
fluroscopy
guide wire
prevention
Surgical errors
unraveling
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Summary:The placement of central venous catheter using Seldinger's technique, remains a commonly performed procedure with its own risks and benefits. Various complications have been reported with the use of guide wire as well as catheter. We report a unique problem during subclavian vein cannulation due to guidewire malposition which led to its kinking and difficult retrieval requiring removal in fluoroscopy suit. The probable mechanism of guide wire entrapment and possible bedside management of similar problems is described.
ISSN:0970-9185
2231-2730
DOI:10.4103/0970-9185.130061