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Cardiac Catheterization I: Pre-Procedure Overview01:28

Cardiac Catheterization I: Pre-Procedure Overview

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Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
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Venous Thrombosis III: Interprofessional Care01:29

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Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
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Cardiac Catheterization IV: Nursing Management01:26

Cardiac Catheterization IV: Nursing Management

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Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
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Cardiac Catheterization II: Right Heart Catheterization01:21

Cardiac Catheterization II: Right Heart Catheterization

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Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
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Venous Thrombosis I: Introduction01:30

Venous Thrombosis I: Introduction

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Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
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Hemodialysis II: Procedure and Complications01:24

Hemodialysis II: Procedure and Complications

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DialyzersA hemodialysis (HD) dialyzer is a plastic cartridge containing thousands of parallel hollow fibers, which serve as semipermeable membranes. These fibers are typically made from cellulose-based or other synthetic materials. During HD, blood is pumped into the top of the cartridge and distributed among these fibers. Simultaneously, dialysis fluid, known as dialysate, is introduced into the bottom of the cartridge, bathing the outside of the fibers. Across the semipermeable membrane,...
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Related Experiment Video

Updated: Apr 1, 2026

Insertion, Maintenance, and Removal of the Percutaneous Dual Lumen Cannula Right Ventricular Assist Device
07:41

Insertion, Maintenance, and Removal of the Percutaneous Dual Lumen Cannula Right Ventricular Assist Device

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Unusual but completely avoidable complication during central venous catheterization.

Kewal Krishan Gupta1, Nitin Nagpal2

  • 1Department of Anaesthesiolgy and ICU, GGS Medical College and Hospital, Faridkot, Punjab, India.

Anesthesia, Essays and Researches
|September 30, 2015
PubMed
Summary

A rare complication during central venous catheterization, the complete loss of a guide wire into the subclavian vein, is discussed. This avoidable issue was successfully managed with surgical retrieval.

Keywords:
Avoidable complicationguide wiresubclavian venous cannulation

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Area of Science:

  • Vascular Surgery
  • Interventional Cardiology
  • Medical Device Complications

Background:

  • Central venous catheterization is a common medical procedure with known risks.
  • Complications, though infrequent, can arise even with experienced practitioners.
  • Guide wire-related issues are exceptionally rare.

Observation:

  • A case of complete guide wire loss into the subclavian vein during central venous catheterization is presented.
  • This complication, while rare, is entirely preventable.
  • The lost guide wire was successfully retrieved via surgical intervention.

Findings:

  • Guide wire loss represents a rare but significant procedural complication.
  • Surgical intervention can effectively resolve guide wire embolization.
  • Emphasis on technique and vigilance can prevent such adverse events.

Implications:

  • Highlights the importance of meticulous technique in central venous catheterization.
  • Underscores the need for awareness of rare guide wire complications.
  • Demonstrates the efficacy of surgical retrieval for lost guide wires.