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Ansari, Md, Kumar, Naveen, Kumar, Shailesh, Kumari, Sarita. (1395). Extra Luminal Entrapment of Guide Wire; A Rare Complication of Central Venous Catheter Placement in Right Internal Jugular Vein. سامانه مدیریت نشریات علمی, 4(Issue 4), 240-243.
Md Abu Masud Ansari; Naveen Kumar; Shailesh Kumar; Sarita Kumari. "Extra Luminal Entrapment of Guide Wire; A Rare Complication of Central Venous Catheter Placement in Right Internal Jugular Vein". سامانه مدیریت نشریات علمی, 4, Issue 4, 1395, 240-243.
Ansari, Md, Kumar, Naveen, Kumar, Shailesh, Kumari, Sarita. (1395). 'Extra Luminal Entrapment of Guide Wire; A Rare Complication of Central Venous Catheter Placement in Right Internal Jugular Vein', سامانه مدیریت نشریات علمی, 4(Issue 4), pp. 240-243.
Ansari, Md, Kumar, Naveen, Kumar, Shailesh, Kumari, Sarita. Extra Luminal Entrapment of Guide Wire; A Rare Complication of Central Venous Catheter Placement in Right Internal Jugular Vein. سامانه مدیریت نشریات علمی, 1395; 4(Issue 4): 240-243.

Extra Luminal Entrapment of Guide Wire; A Rare Complication of Central Venous Catheter Placement in Right Internal Jugular Vein

Bulletin of Emergency And Trauma
مقاله 10، دوره 4، Issue 4، دی 2016، صفحه 240-243    اصل مقاله (1.16 M)
نوع مقاله: Case Report
نویسندگان
Md Abu Masud Ansari* ؛ Naveen Kumar؛ Shailesh Kumar؛ Sarita Kumari
PGIMER, Dr RML Hospital, New Delhi, India
چکیده
Central venous Catheterization (CVC) is a commonly performed procedure for venous access. It is associated with several complications. We report a rare case of extra luminal entrapment of guide wire during CVC placement in right jugular vein. We report a case of 28 years old female patient presented in our emergency with history of entrapped guide wire in right side of neck during CVC. X-ray showed coiling of guide wire in neck. CT Angiography showed guide wire coursing in between common carotid artery and internal jugular vein (IJV), closely abutting the wall of both vessels. The guide wire was coiled with end coursing behind the esophageal wall. Guide wire was removed under fluoroscopic guide manipulation under local anesthesia. We want to emphasize that even though CVC placement is common and simple procedure, serious complication can occur in hands of untrained operator. The procedure should be performed under supervision, if done by trainee. Force should never be applied to advance the guide wire if resistance is encountered.
کلیدواژه‌ها
Central venous catheter؛ Guide wire؛ Extra luminal entrapment؛ Jugular vein
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