Document Detail


Subclavian vein flexible guidewire knotting. A potential serious complication in hemodialysis patients.
MedLine Citation:
PMID:  15332641     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Complications after subclavian vein catheterization are well-documented in the literature. The purpose of this article is to present a case of a rare and potential serious complication of flexible guidewire knotting in subclavian vein catheterization in a hemodialysis patient. METHOD: A 72 year-old woman on hemodialysis due to diabetes has had left upper extremity arteriovenous fistula (AV-F) thrombosed on the scheduled hemodialysis day. A right subclavian vein catheterization for hemodialysis was decided and attempted, that ended up with a flexible guidewire knotting. RESULTS: The flexible guidewire was splinted with the Kit's dilator and after great effort, under radioscopic control the knotting was managed to be unknotted and the guidewire removed. CONCLUSIONS: Our case suggests that a rare and potential serious complication of subclavian vein catheterization for hemodialysis can be successfully managed with appropriate approach and skillful maneuvers.
Authors:
Chr Koundouris; G Tornaris; I Charopoulos; A Vounasis; G Solomou
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Chirurgia (Bucharest, Romania : 1990)     Volume:  99     ISSN:  1221-9118     ISO Abbreviation:  Chirurgia (Bucur)     Publication Date:    2004 Jan-Feb
Date Detail:
Created Date:  2004-08-30     Completed Date:  2004-10-12     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9213031     Medline TA:  Chirurgia (Bucur)     Country:  Romania    
Other Details:
Languages:  eng     Pagination:  61-4     Citation Subset:  IM    
Affiliation:
Surgical Department, Sparti General Hospital, Sparti, Greece.
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MeSH Terms
Descriptor/Qualifier:
Aged
Catheterization, Central Venous / adverse effects*,  instrumentation
Equipment Failure
Female
Humans
Renal Dialysis* / adverse effects,  methods
Subclavian Vein*

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