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. 2010 Mar;58(3):296-8.
doi: 10.4097/kjae.2010.58.3.296. Epub 2010 Mar 29.

A Complication of Subclavian Venous Catheterization: Extravascular Kinking, Knotting, and Entrapment of the Guidewire -A Case Report-

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Free PMC article

A Complication of Subclavian Venous Catheterization: Extravascular Kinking, Knotting, and Entrapment of the Guidewire -A Case Report-

Jae Jun Lee et al. Korean J Anesthesiol. .
Free PMC article

Abstract

Various complications of central venous catheterization have been reported, some of which are well-known, while others are described as a sporadic events. We experienced a case of left subclavian venous catheterization complicated by extravascular knotting, kinking, and entrapment of the guidewire and the guidewire was removed surgically. Although minimal resistance was encountered during guidewire insertion, the guidewire was advanced approximately 30 cm. Physicians should be aware of these rare potential complications when a guidewire is advanced if any resistance is encountered.

Keywords: Central venous catheterization; Complications.

Figures

Fig. 1
Fig. 1
Chest X-ray showing the knotted, kinked, and entrapped guidewire.
Fig. 2
Fig. 2
Subclavian venogram showing the intact left subclavian vein.

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