Guide Wire Entrapment during Central Venous Catheterization
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±è°æ¿ì(Kim Kyung-Woo) - Inje University Seoul Paik Hospital Department of Anesthesiology and Pain Medicine
±èÁØÇö(Kim Jun-Hyun) - Inje University Ilsan Paik Hospital Department of Anesthesiology and Pain Medicine
(Park Se-Hyeok) - Inje University Ilsan Paik Hospital Department of Anesthesiology and Pain Medicine
±èÁö¿¬(Kim Ji-Yeon) - Inje University Ilsan Paik Hospital Department of Anesthesiology and Pain Medicine
ÀÌ»óÀÏ(Lee Sang-Il) - Inje University Ilsan Paik Hospital Department of Anesthesiology and Pain Medicine
±è°æÅÂ(Kim Kyung-Tae) - Inje University Ilsan Paik Hospital Department of Anesthesiology and Pain Medicine
¹ÚÀå¼ö(Park Jang-Su) - Inje University Ilsan Paik Hospital Department of Anesthesiology and Pain Medicine
±èÁß¿ø(Kim Jung-Won) - Inje University Ilsan Paik Hospital Department of Anesthesiology and Pain Medicine
ÃÖ¿øÁÖ(Choe Won-Joo) - Inje University Ilsan Paik Hospital Department of Anesthesiology and Pain Medicine
Abstract
We experienced a case of venous vessel wall entrapment between the introducer needle and the guide wire during an attempt to performright internal jugular vein (IJV) catheterization. The guide wire was introduced with no resistance but could not be withdrawn. Weperformed ultrasonography and C-arm fluoroscopy to confirm the entrapment location. We assumed the introducer needle penetratedthe posterior vessel wall during the puncture and that only the guide wire entered the vein; an attempt to retract the wire pinched the veinwall between the needle tip and the guide wire. Careful examination with various diagnostic tools to determine the exact cause of entrapmentis crucial for reducing catastrophic complications and achieving better outcomes during catheterization procedures.
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central venous catheter, complications, entrapment
KMID :
0604020140290020137
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