Guidewire Retention by the Venous Cannula of Veno-Arterial Extracorporeal Membrane Oxygenation

While insertion of a central venous catheter (CVC) for intravascular access, diagnosis, and intensive care medical treatment is frequently needed in critically ill patients, retention of the guidewire used for CVC placement with Seldinger’s technique is a very rare complication. In patients treated...

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Bibliographic Details
Published in:Reports (MDPI) 2024-06, Vol.7 (2), p.43
Main Authors: Bratke, Sebastian, Graw, Jan A
Format: Article
Language:English
Subjects:
Case reports
Catheters
central venous catheter
ECMO
Extracorporeal membrane oxygenation
Foreign bodies
guidewire
Iatrogenesis
Patients
Seldinger
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Summary:While insertion of a central venous catheter (CVC) for intravascular access, diagnosis, and intensive care medical treatment is frequently needed in critically ill patients, retention of the guidewire used for CVC placement with Seldinger’s technique is a very rare complication. In patients treated with extracorporeal membrane oxygenation (ECMO), significant negative pressures in the thoracal and abdominal venous system are generated by the venous ECMO drainage cannula. Therefore, during CVC placement in patients treated with ECMO, special vigilance is required because the significant negative pressures generated by the venous ECMO drainage cannula facilitate venous suction of an unsecured guidewire.
ISSN:2571-841X
DOI:10.3390/reports7020043