Case report reveals complications from guidewire use during central venous catheterization, highlighting potential risks.
Central venous catheterization is usually performed by Seldinger's technique which involves threading of a guidewire over a needle after venous puncture. This method has multiple potential risks, but guidewire related risks are rare and if occurs can be lethal. Guidewire can cause complications like kinking, knotting, uncoiling and fracture. We experienced a case of right subclavian vein catheterization complicated by intravascular kinking and difficulty in removal of guidewire causing uncoiling which is quite rare. The patient recovered without any complications. This article describes the known complications during guidewire insertion and measures to avoid it.
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Sreenath et al. (2025) studied this question.
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