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KMID : 0604020140290020137
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Korean Journal of Critical Care Medicine
2014 Volume.29 No. 2 p.137 ~ p.140
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Guide Wire Entrapment during Central Venous Catheterization
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Kim Kyung-Woo
Kim Jun-Hyun
Park Se-Hyeok
Kim Ji-Yeon
Lee Sang-Il
Kim Kyung-Tae
Park Jang-Su
Kim Jung-Won
Choe Won-Joo
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Abstract
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We experienced a case of venous vessel wall entrapment between the introducer needle and the guide wire during an attempt to performright internal jugular vein (IJV) catheterization. The guide wire was introduced with no resistance but could not be withdrawn. Weperformed ultrasonography and C-arm fluoroscopy to confirm the entrapment location. We assumed the introducer needle penetratedthe posterior vessel wall during the puncture and that only the guide wire entered the vein; an attempt to retract the wire pinched the veinwall between the needle tip and the guide wire. Careful examination with various diagnostic tools to determine the exact cause of entrapmentis crucial for reducing catastrophic complications and achieving better outcomes during catheterization procedures.
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KEYWORD
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central venous catheter, complications, entrapment
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FullTexts / Linksout information
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Listed journal information
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