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Korean J Crit Care Med > Volume 26(1); 2011 > Article
Korean Journal of Critical Care Medicine 2011;26(1): 38-40. doi: https://doi.org/10.4266/kjccm.2011.26.1.38
중심정맥도관 삽입 중 발생한 유도철사의 매듭과 꼬임 -증례 보고-
김덕규ㆍ이지혜ㆍ김동찬ㆍ임형선ㆍ고성훈ㆍ손지선
전북대학교 의학전문대학원 마취통증의학교실
Knotting and Kinking of the Guidewire during Central Venous Catheterization: A Case Report
Deokkyu Kim, Ji Hye Lee, Dong Chan Kim, Hyungsun Lim, Seonghoon Ko, Ji Seon Son
Department of Anesthesiology and Pain Medicine, Chonbuk National University Medical School, Jeonju, Korea. sjs6803@jbnu.ac.kr
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.
Key Words: central venous catheterization; complication; guidewire
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