Document Detail

Subclavian central venous catheterization complicated by guidewire looping and entrapment.
MedLine Citation:
PMID:  10431965     Owner:  NLM     Status:  MEDLINE    
The placement of central venous catheters is a technically challenging procedure with known risks and complications. We report an attempted left subclavian central venous catheterization that was complicated by looping and entrapment of the guidewire. We hypothesize that this complication occurred because the straight guidewire that was used may have perforated the wall of the vein, allowing the guidewire to loop upon itself. Although catheter looping and knotting are well known potential complications of central venous catheterization, similar complications are rarely reported with guidewires. Clinicians should be aware of these potential complications when performing or teaching central venous catheterization.
H E Wang; T A Sweeney
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of emergency medicine     Volume:  17     ISSN:  0736-4679     ISO Abbreviation:  J Emerg Med     Publication Date:    1999 Jul-Aug
Date Detail:
Created Date:  1999-09-09     Completed Date:  1999-09-09     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8412174     Medline TA:  J Emerg Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  721-4     Citation Subset:  IM    
Department of Emergency Medicine, Christiana Care Health System-The Medical Center of Delaware, Newark 19720, USA.
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MeSH Terms
Catheterization, Central Venous / adverse effects*
Equipment Design
Fatal Outcome
Heart Arrest
Middle Aged
Subclavian Vein*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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