Related Experiment Video
Updated: Jun 3, 2026

The Supraclavicular Fossa Ultrasound View for Central Venous Catheter Placement and Catheter Change Over Guidewire
Published on: December 23, 2014
[Sticking guide wire. Problems with a high-flow catheter]
C Paul1, H Knopf, B W Böttiger
1Klinik für Anästhesiologie und Operative Intensivmedizin, Universitätsklinik Köln, Kerpener Strasse 62, Köln, Germany. christian.paul@netcologne.de
Insights
A guide wire became lodged in a patient
Area of Science:
- Vascular surgery
- Medical device technology
Background:
- Preoperative care for aortic aneurysm patients requires large-volume infusion lines.
- Placing high-flow catheters is crucial for managing hemodynamic stability.
Observation:
- A guide wire could not be retracted after placing a high-flow catheter.
- The patient had an aortic aneurysm and was undergoing preoperative care.
Findings:
- Computed tomography revealed catheter kinking, which trapped the guide wire.
- The trapped guide wire was a result of the catheter kinking.
Implications:
- This case highlights potential complications with large-volume infusion catheter placement.
- Prompt diagnosis via imaging is essential for managing such complications.
- Safe removal of both catheter and guide wire is achievable.
Abstract:
In the case presented an intravenous line for large volume infusion rates was to be placed in a patient with an aortic aneurysm during clinical preoperative care. After a high-flow catheter had been placed without any problems retraction of the guide wire was found to be impossible. Computer tomography revealed that the reason was a kink in the catheter resulting in the guide wire being nipped off. Fortunately both catheter and guide wire could be removed completely without any further complications.
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