Ultrasound Diagnosis of Central Line Guidewire Entrapment With an Inferior Vena Cava Filter

Author:

Reddy Subhash1,Coba Victor1,Horst Mathilda1,Killu Keith1

Affiliation:

1. Division of Acute Care Surgery, Henry Ford Health System, Detroit, Michigan

Abstract

Introduction. Guidewire entrapment with an inferior vena cava (IVC) filter during internal jugular vein central line placement is a rare complication. The diagnosis is made by abdominal X-ray or fluoroscopy, and in the majority of cases, the guidewire is removed by interventional radiology, seldom requiring operative removal. Objective. To describe a case of diagnosing central line guidewire entrapment with an IVC by bedside ultrasound. Data source/Case summary. During the placement of a central venous catheter (CVC) in a 63-year-old man—on postoperative day 7 from small bowel resection with presumed peripherally inserted central catheter sepsis—the authors were unable to remove the guidewire. Bedside ultrasound was used to quickly identify the guidewire entrapment down the IVC to the IVC filter. Conclusion. Bedside ultrasound may aid in the diagnosis and expedite the management of guidewire entrapment with IVC filter, which is on the CVC placement complications.

Publisher

SAGE Publications

Subject

Management Science and Operations Research,Critical Care and Intensive Care Medicine,Critical Care Nursing

Cited by 1 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Guide Wire Entrapment during Central Venous Catheterization;Korean Journal of Critical Care Medicine;2014

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