Use of video-assisted thoracoscopic surgery to retrieve a broken guidewire / 대한외과학회지
Journal of the Korean Surgical Society
; : 244-247, 2013.
Article
in En
| WPRIM
| ID: wpr-200746
Responsible library:
WPRO
ABSTRACT
Subclavian venous catheterization was once widely used for volume resuscitation, emergency venous access, chemotherapy, parenteral nutrition, and hemodialysis. However, its use has drastically reduced recently because of life-threatening complications such as hemothorax, pneumothorax. In this case, a patient admitted for a scheduled operation underwent right subclavian venous catheterization for preoperative, intraoperative, and postoperative volume resuscitation and parenteral nutrition. The procedure was performed by an experienced senior resident. Despite detecting slight resistance during the guidewire insertion, the resident continued the procedure to the point of being unable to advance or remove it, then attempted to forcefully remove the guidewire, but it broke and became entrapped within the thorax. We tried to remove the guidewire through infraclavicular skin incision but failed. So video-assisted thoracoscopic surgery was used to remove the broken guidewire. This incident demonstrates the risks of subclavian venous catheterization and the importance of using a proper and gentle technique.
Key words
Full text:
1
Database:
WPRIM
Main subject:
Pneumothorax
/
Resuscitation
/
Skin
/
Thorax
/
Catheterization, Central Venous
/
Catheterization
/
Renal Dialysis
/
Parenteral Nutrition
/
Thoracic Surgery, Video-Assisted
/
Drug Therapy
Limits:
Humans
Language:
En
Journal:
Journal of the Korean Surgical Society
Year:
2013
Document type:
Article