J-tip guide wire entrapment within the heart during central venous catheterization

Title
J-tip guide wire entrapment within the heart during central venous catheterization
Author(s)
도준영강석휘[강석휘]박원규[박원규]조규향박종원윤경우
Keywords
COMPLICATIONS; FILTERS
Issue Date
201207
Publisher
WILEY-BLACKWELL
Citation
HEMODIALYSIS INTERNATIONAL, v.16, no.3, pp.438 - 440
Abstract
A 55-year-old female was hospitalized for melena. The patient was suspected of having uremia symptoms. Use of a tunneled cuffed hemodialysis catheter of the right internal jugular vein was planned. At one point, the wire could not be extracted or advanced. In addition, whenever the guide wire was manipulated, ventricular premature rhythms developed. Fluoroscopy revealed knotting of the guide wire in the right ventricle. A 7 French guiding catheter was inserted along the guide wire, which loosened the knotting of the guide wire. The present case shows that entrapment within the heart can develop due to use of a J-tip guide wire. If a guide wire cannot be removed despite several attempts with gentle pressure, this event should be ruled out by fluoroscopy and chest X-ray. Using of straight or curved guide wire and real-time surveillance using fluoroscopy or electrocardiography may be important to prevent this complication.
URI
http://hdl.handle.net/YU.REPOSITORY/27706http://dx.doi.org/10.1111/j.1542-4758.2011.00638.x
ISSN
1492-7535
Appears in Collections:
의과대학 > 내과학교실 > Articles
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