Related Experiment Video

Updated: Feb 8, 2026

The Supraclavicular Fossa Ultrasound View for Central Venous Catheter Placement and Catheter Change Over Guidewire
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Guidewire-induced asystole complicating a right internal jugular catheter placement in a patient with pre-existing

Ramadan Arafa1, Hassan Khammas1, Amrish Agrawal1

  • 1Fujairah Hospital, Fujairah, United Arab Emirates.

The Journal of Vascular Access
|July 10, 2018
PubMed

Insights

Guidewire complications during internal jugular venous catheter insertion for hemodialysis are rare but serious. One patient experienced asystole, necessitating a transvenous pacemaker.

Area of Science:

  • Nephrology
  • Cardiology
  • Medical Devices

Background:

  • Internal jugular venous catheters are crucial for hemodialysis access, particularly in patients with vascular disease.
  • The Seldinger technique is the standard method for catheter insertion.
  • While guidewire-related complications are infrequent, they can lead to severe outcomes.

Observation:

  • A case report details a patient undergoing internal jugular venous catheter insertion.
  • The patient developed asystole during the guidewire placement procedure.
  • This cardiac event required immediate intervention with a transvenous pacemaker.

Findings:

  • Guidewire manipulation during internal jugular venous catheterization can precipitate life-threatening cardiac events like asystole.
  • Prompt recognition and management are critical for patient survival.

Implications:

  • Highlights the potential for severe cardiac complications associated with guidewire use in central venous catheterization.
  • Underscores the importance of vigilance and preparedness for managing emergent cardiac events during invasive procedures.
  • Suggests a need for continued evaluation of guidewire safety protocols in hemodialysis access procedures.

Keywords:
Guidewire cardiac complicationsarrhythmiacentral venous access

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