KMID : 0604020110260010038
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Korean Journal of Critical Care Medicine 2011 Volume.26 No. 1 p.38 ~ p.40
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Knotting and Kinking of the Guidewire during Central Venous Catheterization
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Kim Deok-Kyu
Lee Ji-Hye Kim Dong-Chan Lim Hyung-Sun Ko Seong-Hoon Son Ji-Seon
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Abstract
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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.
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KEYWORD
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central venous catheterization, complication, guidewire
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