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Use of video-assisted thoracoscopic surgery to retrieve a broken guidewire

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,...

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Autores principales: Cho, Jin-Beom, Park, Il-Young, Sung, Ki-Young, Baek, Jong-Min, Lee, Jun-Hyun, Lee, Do-Sang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Surgical Society 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3834025/
https://www.ncbi.nlm.nih.gov/pubmed/24266017
http://dx.doi.org/10.4174/jkss.2013.85.5.244
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author Cho, Jin-Beom
Park, Il-Young
Sung, Ki-Young
Baek, Jong-Min
Lee, Jun-Hyun
Lee, Do-Sang
author_facet Cho, Jin-Beom
Park, Il-Young
Sung, Ki-Young
Baek, Jong-Min
Lee, Jun-Hyun
Lee, Do-Sang
author_sort Cho, Jin-Beom
collection PubMed
description 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.
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spelling pubmed-38340252013-11-21 Use of video-assisted thoracoscopic surgery to retrieve a broken guidewire Cho, Jin-Beom Park, Il-Young Sung, Ki-Young Baek, Jong-Min Lee, Jun-Hyun Lee, Do-Sang J Korean Surg Soc Case Report 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. The Korean Surgical Society 2013-11 2013-10-25 /pmc/articles/PMC3834025/ /pubmed/24266017 http://dx.doi.org/10.4174/jkss.2013.85.5.244 Text en Copyright © 2013, the Korean Surgical Society http://creativecommons.org/licenses/by-nc/3.0/ Journal of the Korean Surgical Society is an Open Access Journal. All articles are distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Cho, Jin-Beom
Park, Il-Young
Sung, Ki-Young
Baek, Jong-Min
Lee, Jun-Hyun
Lee, Do-Sang
Use of video-assisted thoracoscopic surgery to retrieve a broken guidewire
title Use of video-assisted thoracoscopic surgery to retrieve a broken guidewire
title_full Use of video-assisted thoracoscopic surgery to retrieve a broken guidewire
title_fullStr Use of video-assisted thoracoscopic surgery to retrieve a broken guidewire
title_full_unstemmed Use of video-assisted thoracoscopic surgery to retrieve a broken guidewire
title_short Use of video-assisted thoracoscopic surgery to retrieve a broken guidewire
title_sort use of video-assisted thoracoscopic surgery to retrieve a broken guidewire
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3834025/
https://www.ncbi.nlm.nih.gov/pubmed/24266017
http://dx.doi.org/10.4174/jkss.2013.85.5.244
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