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KMID : 0604020110260010038
Korean Journal of Critical Care Medicine
2011 Volume.26 No. 1 p.38 ~ p.40
Knotting and Kinking of the Guidewire during Central Venous Catheterization
Kim Deok-Kyu

Lee Ji-Hye
Kim Dong-Chan
Lim Hyung-Sun
Ko Seong-Hoon
Son Ji-Seon
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
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