• A & A case reports · Nov 2014

    A significant complication that occurred during insertion of dual guidewires into the right internal jugular vein for central venous catheterization.

    • Hisato Fukugasako, Yasunori Mishima, Asuka Ito, Yuko Kozasa, and Kazuo Ushijima.
    • From the Department of Anesthesiology, Kurume University School of Medicine, Kurume, Japan.
    • A A Case Rep. 2014 Nov 15;3(10):133-5.

    AbstractWe report a significant complication that occurred during double guidewire insertion. The first guidewire (GW1) was inserted under ultrasonographic guidance, whereas the second guidewire (GW2) was inserted by the landmark-based method. Subsequently, GW2 penetrated and entangled with GW1, which caused difficulty in removing both guidewires. A dilator was used to dilate the puncture site, allowing simultaneous removal of both guidewires with minimal invasion. The first guidewire was found to be pointing in a cranial direction, indicating the manner in which the second guidewire's puncture needle had penetrated it. Thus, when double cannulation is performed, guidewire position should be confirmed.

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