Successful removal of kinked J-guide wire under fluoroscopic guidance during central venous catheterization -A case...

Area of Science:

• Interventional Radiology
• Vascular Access Procedures
• Medical Device Complications

Background:

• Central venous catheterization is a common procedure with potential guidewire-associated complications.
• Complications include guidewire kinking, looping, knotting, and breakage, posing risks during removal.
• Improper removal can lead to significant patient harm, including hemorrhage and embolization.

Purpose of the Study:

• To report a case of guidewire kinking during central venous catheterization.
• To illustrate a successful technique for removing a kinked guidewire.
• To highlight the utility of fluoroscopic guidance in managing guidewire complications.

Main Methods:

• A case of central venous catheterization complicated by guidewire kinking was identified.
• Fluoroscopic guidance was employed to visualize the kinked guidewire.
• A specific technique was utilized for the safe removal of the kinked guidewire.

Main Results:

• The kinked guidewire was successfully visualized using fluoroscopy.
• The kinked guidewire was safely removed without causing further vessel damage or complications.
• The patient tolerated the procedure well.

Conclusions:

• Guidewire kinking is a manageable complication during central venous catheterization.
• Fluoroscopic guidance is crucial for the safe and effective removal of kinked guidewires.
• This technique can prevent severe adverse events associated with guidewire manipulation.