Korean J Crit Care Med.  2014 May;29(2):137-140. 10.4266/kjccm.2014.29.2.137.

Guide Wire Entrapment during Central Venous Catheterization

• Kim KW
• Kim JH
• Park SH
• Kim JY
• Lee SI
• Kim KT
• Park JS
• Kim JW
• Choe WJ

• KMID: 2227777
• DOI: http://doi.org/10.4266/kjccm.2014.29.2.137

Abstract

We experienced a case of venous vessel wall entrapment between the introducer needle and the guide wire during an attempt to perform right internal jugular vein (IJV) catheterization. The guide wire was introduced with no resistance but could not be withdrawn. We performed ultrasonography and C-arm fluoroscopy to confirm the entrapment location. We assumed the introducer needle penetrated the posterior vessel wall during the puncture and that only the guide wire entered the vein; an attempt to retract the wire pinched the vein wall between the needle tip and the guide wire. Careful examination with various diagnostic tools to determine the exact cause of entrapment is crucial for reducing catastrophic complications and achieving better outcomes during catheterization procedures.

Keyword

central venous catheter; complications; entrapment

MeSH Terms

Catheterization
Catheterization, Central Venous*
Catheters
Central Venous Catheters*
Fluoroscopy
Jugular Veins
Needles
Punctures
Ultrasonography
Veins