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ACC : Acute and Critical Care



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HOME > Acute Crit Care > Volume 26(1); 2011 > Article
Case Report Knotting and Kinking of the Guidewire during Central Venous Catheterization: A Case Report
Deokkyu Kim, Ji Hye Lee, Dong Chan Kim, Hyungsun Lim, Seonghoon Ko, Ji Seon Son

Department of Anesthesiology and Pain Medicine, Chonbuk National University Medical School, Jeonju, Korea.
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Central venous catheterization is often necessary to manage critically ill patients in the intensive care unit and some surgical patients in the operating room. However, this procedure can lead to various complications. We experienced a case of subclavian venous catheterization that was complicated by looping, kinking, knotting, and entrapment of the guidewire. We were able to identify the extravascular looping and knotting of the guidewire under fluoroscopy and consequently removed it successfully. We suggest that a guidewire should be confirmed by fluoroscopic imaging if it has become entrapped.

ACC : Acute and Critical Care