Korean J Crit Care Med.  2011 Mar;26(1):38-40. 10.4266/kjccm.2011.26.1.38.

Knotting and Kinking of the Guidewire during Central Venous Catheterization: A Case Report

• Kim D
• Lee JH
• Kim DC
• Lim H
• Ko S
• Son JS

• KMID: 2228109
• DOI: http://doi.org/10.4266/kjccm.2011.26.1.38

Abstract

Central venous catheterization is often necessary to manage critically ill patients in the intensive care unit and some surgical patients in the operating room. However, this procedure can lead to various complications. We experienced a case of subclavian venous catheterization that was complicated by looping, kinking, knotting, and entrapment of the guidewire. We were able to identify the extravascular looping and knotting of the guidewire under fluoroscopy and consequently removed it successfully. We suggest that a guidewire should be confirmed by fluoroscopic imaging if it has become entrapped.

Keyword

central venous catheterization; complication; guidewire

MeSH Terms

Catheterization
Catheterization, Central Venous
Catheters
Central Venous Catheters
Critical Illness
Fluoroscopy
Humans
Intensive Care Units
Operating Rooms