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Case Reports in Anesthesiology
Volume 2011, Article ID 379827, 4 pages
http://dx.doi.org/10.1155/2011/379827
Case Report

The Sheared Central Venous Catheter?

1Department of Anaesthesiology, SDM College of Medical Sciences and Hospital, Dharwad, Karnataka 580009, India
2Department of Radiodiagnosis, SDM College of Medical Sciences and Hospital, Dharwad, Karnataka 580009, India

Received 1 August 2011; Accepted 29 August 2011

Academic Editor: J. Yang

Copyright © 2011 Harihar V. Hegde et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A fractured central venous catheter (CVC) with embolization of the distal fragment may lead to life-threatening complications. We had inserted a right subclavian CVC in a 68-year-old female which upon a follow-up chest X-ray appeared to have been sheared. A guidewire was inserted through the CVC until the J-tip was just beyond the tip of the CVC which were then withdrawn as a single assembly. We suspected that the tip of the guidewire might have been entrapped in the opening of the middle port, which upon withdrawal of the guidewire could have led to CVC folding upon itself and shearing.