In Response to Guidewire Entrapped in the Right Ventricle: A Rare Complication of Hemodialysis Catheter Insertion

Rajnish Kumar

doi:10.5005/jp-journals-10071-23486

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In Response to Guidewire Entrapped in the Right Ventricle: A Rare Complication of Hemodialysis Catheter Insertion

Rajnish Kumar

Citation Information : Kumar R. In Response to Guidewire Entrapped in the Right Ventricle: A Rare Complication of Hemodialysis Catheter Insertion. Indian J Crit Care Med 2020; 24 (7):606-607.

DOI: 10.5005/jp-journals-10071-23486

License: CC BY-NC 4.0

Published Online: 22-11-2020

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Abstract

Verma et al. meticulously prevented the further complications once they recognize the entrapped guidewire in the right ventricle. Authors were very correct to mention overzealous insertion of the guidewire without watching the monitor, which may lead to such complications; however, every time monitor is not available for assistance. The Seldinger technique is routinely used for inserting central venous (CV) and hemodialysis (HD) catheters; however, both are different entities and their designs and lengths including of their guidewires vary. During guidewire insertions, simply adhering to the safe length may prevent or minimize many guidewire-related complications.

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Verma A, Chitransh V, Jaiswal S, Vishen A, Sheikh WR, Haldar M, et al. Guidewire entrapped in the right ventricle: a rare complication of hemodialysis catheter insertion. Indian J Crit Care Med 2020;24(1):80–81. DOI: 10.5005/jp-journals-10071-23334.
Khasawneh FA, Smalligan RD. Guidewire-related complications during central venous catheter placement: a case report and review of the literature. Case Rep Crit Care 2011;2011:287261. DOI: 10.1155/2011/287261.
Chakraborty A, Donoo FA, Roy Chowdhury S, Saha A, Ganguly S, Rupert E. Guidewire entrapment in a tricuspid valve apparatus. J Cardiothorac Vasc Anesth 2010;24(5):898–899. DOI: 10.1053/j.jvca.2009.10.010.
Unnikrishnan KP, Sinha PK, Nalgirkar RS. An alternative and simple technique of guidewire retrieval in a failed Seldinger technique. Anesth Analg 2005;100(3):898–899. DOI: 10.1213/01.ANE.0000146654.99367.DD.

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