Guide Wire Entrapment during Central Venous Catheterization

• Main Authors: Kyung Woo Kim, Jun Hyun Kim, Se Hyeok Park, Ji Yeon Kim, Sang Il Lee, Kyung Tae Kim, Jang Su Park, Jung Won Kim, Won Joo Choe
• Format: Article
• Language: English
• Published: Korean Society of Critical Care Medicine 2014-05-01
• Series: Korean Journal of Critical Care Medicine
• Subjects: central venous catheter; complications; entrapment
• Online Access: http://www.kjccm.org/upload/pdf/kjccm-2014-29-2-137.pdf

We experienced a case of venous vessel wall entrapment between the introducer needle and the guide wire during an attempt to perform right internal jugular vein (IJV) catheterization. The guide wire was introduced with no resistance but could not be withdrawn. We performed ultrasonography and C-arm fluoroscopy to confirm the entrapment location. We assumed the introducer needle penetrated the posterior vessel wall during the puncture and that only the guide wire entered the vein; an attempt to retract the wire pinched the vein wall between the needle tip and the guide wire. Careful examination with various diagnostic tools to determine the exact cause of entrapment is crucial for reducing catastrophic complications and achieving better outcomes during catheterization procedures.