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.
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.
Baltalalarli A, Adiguzel E, Gurses E, Coskun E. Subclavian vein cannulation in a different position. Norol bilim derg 2000;17:29.
Adam A. Insertion of long term central venous catheter: Time for a new look. BMJ 1995;311:341-2.
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.
Schummer W, Schummer C, Gaser E, Bartunek R. Loss of the guide wire: Mishap or blunder? Br J Anaesth 2002;88:144-6.
Reynen K. 14-year follow-up of central embolization by a guide wire. N Engl J Med 1993;329:970-1.
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.
Browdle TA. Central line complications from the ASA Closed Claim Project: An Update. ASA Newsl 2002;66:11-2 and 25.
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.
Batra RK, Guleria S, Mandal S. Unusual complication of internal jugular vein cannultion. Indian Chest Dis Allied Sci 2002:44:137-9.
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.
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.
Roye GD, Breazeale EE, Byrnes JP, Rue LW 3rd. Management of catheter emboli. South Med J 1996;89:714-7.