A severe complication of J‐tip guide wire during catheterization: A case report and discussion

Author:

Lu Zhihong1ORCID,Song Junfeng2,He Yongchun3,Huang Guoping1,Fu Songling4,Zhang Qing4,Yu Jiangen5,Gao Qiang5

Affiliation:

1. Department of Nephrology, The Children's Hospital Zhejiang University School of Medicine, National Clinical Research Center for Child Health, National Children's Regional Medical Center Hangzhou China

2. Department of Pediatrics, Affiliated Hangzhou First People's Hospital Zhejiang University School of Medicine Hangzhou China

3. Kidney Disease Center The First Affiliated Hospital of Zhejiang University Hangzhou China

4. Department of Cardiology, The Children's Hospital Zhejiang University School of Medicine, National Clinical Research Center for Child Health, National Children's Regional Medical Center Hangzhou China

5. Department of Cardiothoracic Surgery, The Children's Hospital Zhejiang University School of Medicine, National Clinical Research Center for Child Health, National Children's Regional Medical Center Hangzhou China

Abstract

AbstractJ‐tip guide wire entrapment within the heart is a serious and dangerous complication that is rarely mentioned. We present a case in which the J‐tip guide wire was entrapped in the right atrium during tunneled cuffed venous catheterization. We were unable to remove the guide wire using previously reported methods and concluded with surgery. Owing to the special structure of the guide wire itself, a safe removal process needs to be discussed. Patient consent for publication was obtained prior to the submission of the manuscript.

Publisher

Wiley

Subject

Nephrology

Reference10 articles.

1. Internal jugular venous cannulation complicated by J‐tip guide wire entrapment;Mastan M;Br J Anaesth,2001

2. Guidewire‐related complications during central venous catheter placement: a case report and review of the literature;Khasawneh FA;Case Rep Crit Care,2011

3. Guide-wire entrapment by inferior vena caval filters: in vitro evaluation.

4. Entrapment of J-Tip guidewires by venatech and stainless-steel greenfield vena cava filters during central venous catheter placement: Percutaneous management in four patients

5. Guide Wire Induced Cardiac Tamponade: The Soft J Tip Is Not So Benign

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