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Updated: May 22, 2026

The Supraclavicular Fossa Ultrasound View for Central Venous Catheter Placement and Catheter Change Over Guidewire
Published on: December 23, 2014
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.
Abstract:
A fractured central venous catheter (CVC) with embolization of the distal fragment may lead to life-threatening complications. We had inserted a right subclavian CVC in a 68-year-old female which upon a follow-up chest X-ray appeared to have been sheared. A guidewire was inserted through the CVC until the J-tip was just beyond the tip of the CVC which were then withdrawn as a single assembly. We suspected that the tip of the guidewire might have been entrapped in the opening of the middle port, which upon withdrawal of the guidewire could have led to CVC folding upon itself and shearing.
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