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Case Reports in Critical Care
Volume 2011, Article ID 287261, 4 pages
http://dx.doi.org/10.1155/2011/287261
Case Report

Guidewire-Related Complications during Central Venous Catheter Placement: A Case Report and Review of the Literature

1Division of Critical Care Medicine, Department of Internal Medicine, Texas Tech University Health Sciences Center, 1400 S. Coulter, Amarillo, TX 79106, USA
2Department of Internal Medicine, Texas Tech University Health Sciences Center, 1400 S. Coulter, Amarillo, TX 79106, USA

Received 2 August 2011; Accepted 22 September 2011

Academic Editors: C. Diez, K. Lenz, and J. Starkopf

Copyright © 2011 Faisal A. Khasawneh and Roger D. Smalligan. 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

Seldinger's technique is widely used to place central venous and arterial catheters and is generally considered safe. The technique does have multiple potential risks. Guidewire-related complications are rare but potentially serious. We describe a case of a lost guidewire during central venous catheter insertion followed by a review of the literature of this topic. Measures which can be taken to prevent such complications are explained in detail as well as recommended steps to remedy errors should they occur.