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

Jin-Beom Cho; Il-Young Park; Jong-Min Baek; Jun-Hyun Lee; Do-Sang Lee

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저자정보: Jin-Beom Cho (The Catholic University of Korea College of Medicine) Il-Young Park (The Catholic University of Korea College of Medicine) Jong-Min Baek (The Catholic University of Korea College of Medicine) Jun-Hyun Lee (The Catholic University of Korea College of Medicine) Do-Sang Lee (The Catholic University of Korea College of Medicine)

저널정보: 대한외과학회 Annals of Surgical Treatment and Research Journal of the Korean Surgical Society Vol.85 No.5

발행연도: 2013.11

수록면: 244 - 247 (4page)

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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.

#Broken guidewire #Central venous catheterization #Complications #Subclavian venous catheterization #Video assisted thoracic surgery

참고문헌 (7)

참고문헌 신청

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