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J Anaesthesiol Clin Pharmacol · Apr 2014
Percutaneous retrieval of malpositioned, kinked and unraveled guide wire under fluoroscopic guidance during central venous cannulation.
- Gopal Krishan Jalwal, Vanitha Rajagopalan, Ashish Bindra, Girija Prasad Rath, Keshav Goyal, Atin Kumar, and Shivanand Gamanagatti.
- Department of Neuroanesthesiology, Jai Prakash Narain Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi, India.
- J Anaesthesiol Clin Pharmacol. 2014 Apr 1;30(2):267-9.
AbstractThe placement of central venous catheter using Seldinger's technique, remains a commonly performed procedure with its own risks and benefits. Various complications have been reported with the use of guide wire as well as catheter. We report a unique problem during subclavian vein cannulation due to guidewire malposition which led to its kinking and difficult retrieval requiring removal in fluoroscopy suit. The probable mechanism of guide wire entrapment and possible bedside management of similar problems is described.
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