| Subclavian vein flexible guidewire knotting. A potential serious complication in hemodialysis patients. | |
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MedLine Citation:
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PMID: 15332641 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Chr Koundouris; G Tornaris; I Charopoulos; A Vounasis; G Solomou |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Chirurgia (Bucharest, Romania : 1990) Volume: 99 ISSN: 1221-9118 ISO Abbreviation: Chirurgia (Bucur) Publication Date: 2004 Jan-Feb |
Date Detail:
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Created Date: 2004-08-30 Completed Date: 2004-10-12 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 9213031 Medline TA: Chirurgia (Bucur) Country: Romania |
Other Details:
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Languages: eng Pagination: 61-4 Citation Subset: IM |
Affiliation:
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Surgical Department, Sparti General Hospital, Sparti, Greece. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Catheterization, Central Venous / adverse effects*, instrumentation Equipment Failure Female Humans Renal Dialysis* / adverse effects, methods Subclavian Vein* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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