Indian Journal of Critical Care Medicine

Register      Login



Volume / Issue

Online First

Related articles

VOLUME 10 , ISSUE 4 ( October, 2006 ) > List of Articles


Guide-wire embolism during subclavian vein catheterization by Seldinger technique

H. Narendra, K. R. Baghavan

Keywords : Central venous catheterization, complications, guide-wire embolism, seldinger technique

Citation Information : Narendra H, Baghavan KR. Guide-wire embolism during subclavian vein catheterization by Seldinger technique. Indian J Crit Care Med 2006; 10 (4):257-259.

DOI: 10.4103/0972-5229.29846

License: CC BY-ND 3.0

Published Online: 01-01-2011

Copyright Statement:  Copyright © 2006; The Author(s).


Percutaneous cannulation of central veins by Seldinger technique is a popular approach in intensive care settings. We report a case of embolization of a complete guide-wire during such a procedure. Our case differs from the few earlier reported cases in that subclavian vein was the entry site. While reviewing the available literature, we discuss few reasons and management of such a mishap.

PDF Share
  1. Baltalalarli A, Adiguzel E, Gurses E, Coskun E. Subclavian vein cannulation in a different position. Norol bilim derg 2000;17:29.
  2. Adam A. Insertion of long term central venous catheter: Time for a new look. BMJ 1995;311:341-2.
  3. Mansfield PF, Honn DC, Fornage BD, Gregurich MA, Ota DM. Complications and failure of subclavian vein catheterization. N Eng J Med 1994;331:1735-8.
  4. Schummer W, Schummer C, Gaser E, Bartunek R. Loss of the guide wire: Mishap or blunder? Br J Anaesth 2002;88:144-6.
  5. Reynen K. 14-year follow-up of central embolization by a guide wire. N Engl J Med 1993;329:970-1.
  6. Merrer J, Jonghe BD, Golliot F, Lefrant JY, Raffy B, Barre E, et al. Complications of femoral and subclavian venous catheterization in critically ill patients. JAMA 2001;286:700-7.
  7. Browdle TA. Central line complications from the ASA Closed Claim Project: An Update. ASA Newsl 2002;66:11-2 and 25.
  8. Valero J, Barrerio J, Scez E, Vezquez G, Suso LE, Martelo F. Central emboliztion by guide wire in a burn patient. Ann Burns Fire Dis 1996;9:142-4.
  9. Batra RK, Guleria S, Mandal S. Unusual complication of internal jugular vein cannultion. Indian Chest Dis Allied Sci 2002:44:137-9.
  10. Andrews RT, Bova DA, Venbrux AC. How much guidewire is too much? Direct measurement of the distance from subclavian and internal jugular vein access sites to the superior vena cava-atrial junction during central venous catheter placement. Crit Care Med 2000;28:138-42.
  11. Duong MH, Jensen WA, Kirsch CM, Wehner JH, Kagawa FT. An unusual complication during central venous catheter placement. J Clin Anesth 2001;13:131-2.
  12. Roye GD, Breazeale EE, Byrnes JP, Rue LW 3rd. Management of catheter emboli. South Med J 1996;89:714-7.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.