Coiling of central venous catheter in subcutaneous tissue during insertion.
Journal Title: Journal of Indira Gandhi Institute of Medical Sciences - Year 2015, Vol 1, Issue 1
Abstract
The use of central venous catheterisation is common in the setting of ICU and operation theatres for monitoring of CVP, fluid administration and drug infusions. In our hospital according to census approximately 20,000 central line are inserted per year. In which however, placement of CVCs is not always innocuous, numerous complications may occur, with varying frequency and severity (more than 15%)1,2. Acute complications like- arrhythmias, arterial puncture, pneumothorax, etc., are readily apparent. Rarer complications such as those involving guide wire insertion or removal often are not readily apparent. Most common complication of the passage of a guide wire is the induction of cardiac arrhythmias.3,4 Other complications include: looping, knotting, vascular perforation, fragmentation and embolisation, entrapment of the wire in the IVC filter and the Sternocleidomastoid muscle.2We describe the entrapment of guide wire probably in the subcutaneous tissue.
Authors and Affiliations
Swati Singh
Keywords
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