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The sheared central venous catheter?

Harihar V Hegde¹, Vijay G Yaliwal, Shyamsundar K Joshi

¹Department of Anaesthesiology, SDM College of Medical Sciences and Hospital, Dharwad, Karnataka 580009, India.

Case Reports in Anesthesiology

|May 19, 2012

Summary

A fractured central venous catheter (CVC) can cause serious complications. This case study describes a sheared CVC potentially caused by guidewire entrapment during removal, highlighting a rare but critical event.

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Area of Science:

Medical Devices
Vascular Surgery
Radiology

Background:

Central venous catheters (CVCs) are essential for patient care but carry risks.
Fracture and embolization of CVC fragments can lead to severe outcomes.

Observation:

A right subclavian CVC in a 68-year-old female patient was found fractured on chest X-ray.
The catheter appeared sheared, suggesting a mechanical failure during removal.

Findings:

A guidewire was inserted through the CVC, with its J-tip positioned just beyond the catheter tip.
The CVC and guidewire were withdrawn together, leading to suspected catheter shearing.

Implications:

Guidewire entrapment in a CVC port may cause catheter folding and shearing.
This case highlights the importance of careful CVC removal techniques to prevent rare complications.