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February 1, 1989The International Journal of Artificial Organs

Cardiac Perforation by a Guide Wire during Subclavian Catheter Insertion

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Population

1 patient undergoing subclavian dialysis catheter insertion

Design

Case_report

Authors

PBPeter G. BlakeWestern UniversityRURobert UldallWellesley College

Discussion

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Overview

Straight soft-tipped guidewires may risk cardiac perforation in subclavian access; this case leaves open comparative safety versus J-tip wires.

Structured PICO

P
Population
1 patient undergoing subclavian dialysis catheter insertion
I
Intervention
Straight soft tipped guide wire
O
Outcome
Cardiac perforationsafety

The use of straight soft tipped guide wires for subclavian catheter insertion carries a risk of life-threatening cardiac perforation; J tip guide wires are recommended instead.

Cite This Study

Blake et al. (1989) studied this question.

synapsesocial.com/papers/6a7d275d00c5c9efbcaa0ec0https://doi.org/10.1177/039139888901200208
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Fatality Due to Subclavian Dialysis Catheter2008 · 39 citations
  2. 2Dialysis Catheter-Induced Pericardial Tamponade1982 · 40 citations
  3. 3Perforation of Atrium by Polyethylene CV Catheter1968 · 71 citations
  4. 4Complications of Determining the Central Venous Pressure1965 · 49 citations
  5. 5Cardiothoracic Emergencies Associated With Subclavian Hemodialysis Catheters1983 · 74 citations