Guide Wire Induced Cardiac Tamponade: The Soft J Tip Is Not So Benign
نویسندگان
چکیده
Central venous catheter (CVC) insertion rarely causes cardiac tamponade due to perforation. Although it is a rare complication, it can be lethal if not identified early. We report a case of cardiac tamponade caused by internal jugular (IJ) central venous catheter (CVC) insertion using a soft J-tipped guide wire which is considered safe and rarely implicated with cardiac tamponade. A bedside transthoracic echocardiogram (TTE) revealed a pericardial effusion with tamponade. An emergent bedside pericardiocentesis was done revealing bloody fluid and resulted in clinical stabilization.
منابع مشابه
Surgical management of cardiac tamponade: Is left anterior minithoracotomy really safe and effective?
Objective: Cardiac tamponade is a life-threatening clinical entity that requires an emergency treatment. Cardiac tamponade can be caused both by benign and malignant diseases. A variety of methods have been described for the treatment of these cases from needle-guided pericardiocentesis, balloon-based techniques to surgical pericardiotomy. The Authors report their experience in...
متن کاملحل مشکل جاگذاری کاتتر ورید مرکزی با استفاده از کاتتر وریدی: مقاله تکنیکال
Insertion of central venous catheter is an accepted method for hemodynamic monitor-ring, drug and fluid administration, intravenous access, hemodialysis and applying cardiac pace-maker in hospitalized patients. This procedure can be associated with severe complications. The aim of this article is to provide a practical approach to prevent catheter malposition in states that the guide wire will ...
متن کاملDiagnosis With Magnetic Resonance Pancreatography
2 Bernath GA, Cogswell TL, Hoffman RG, et al. Influences on the distribution of blood flow during cardiac tamponade in the conscious dog. Circ Res 1987; 60:72–81 3 Kingma JG Jr, Martin J, Rouleau JR. Acute tamponade alters subendoand subepicardial pressure-flow relations differently during vasodilation. Am J Physiol 1994; 267:H133–H138 4 Labovitz AJ, Anthonis DM, Cravens TL, et al. Validation o...
متن کاملIntrapelvic Protrusion of a Broken Guide Wire Fragment during Fixation of a Femoral Neck Fracture
Breakage of DHS guide wire during surgery and its migration into the pelvis through the hip joint is a rare complication and its removal can be very challenging for the surgeon. We share our experience of a similar case wherein we used an ‘iliofemoral’ approach to successfully remove the broken transfixing guidewire from the hip joint. Although iliofemoral approach is similar to the lateral win...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
دوره 2016 شماره
صفحات -
تاریخ انتشار 2016