• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

在透视引导下经皮取出中心静脉置管时位置不当、扭结和解开的导丝。

Percutaneous retrieval of malpositioned, kinked and unraveled guide wire under fluoroscopic guidance during central venous cannulation.

作者信息

Jalwal Gopal Krishan, Rajagopalan Vanitha, Bindra Ashish, Rath Girija Prasad, Goyal Keshav, Kumar Atin, Gamanagatti Shivanand

机构信息

Department of Neuroanesthesiology, Jai Prakash Narain Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi, India.

Department of Radiology, Jai Prakash Narain Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi, India.

出版信息

J Anaesthesiol Clin Pharmacol. 2014 Apr;30(2):267-9. doi: 10.4103/0970-9185.130061.

DOI:10.4103/0970-9185.130061
PMID:24803771
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4009653/
Abstract

The placement of central venous catheter using Seldinger's technique, remains a commonly performed procedure with its own risks and benefits. Various complications have been reported with the use of guide wire as well as catheter. We report a unique problem during subclavian vein cannulation due to guidewire malposition which led to its kinking and difficult retrieval requiring removal in fluoroscopy suit. The probable mechanism of guide wire entrapment and possible bedside management of similar problems is described.

摘要

采用Seldinger技术放置中心静脉导管仍是一项常见操作，有其自身的风险和益处。使用导丝以及导管时已报告了各种并发症。我们报告了锁骨下静脉插管过程中因导丝位置不当导致其扭结且难以取出，需要在透视设备下取出的一个独特问题。描述了导丝陷入的可能机制以及类似问题的床边处理方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c558/4009653/24fe5460674f/JOACP-30-267-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c558/4009653/0eb88328c15c/JOACP-30-267-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c558/4009653/d17035e76939/JOACP-30-267-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c558/4009653/24fe5460674f/JOACP-30-267-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c558/4009653/0eb88328c15c/JOACP-30-267-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c558/4009653/d17035e76939/JOACP-30-267-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c558/4009653/24fe5460674f/JOACP-30-267-g003.jpg

相似文献

1
Percutaneous retrieval of malpositioned, kinked and unraveled guide wire under fluoroscopic guidance during central venous cannulation.在透视引导下经皮取出中心静脉置管时位置不当、扭结和解开的导丝。
J Anaesthesiol Clin Pharmacol. 2014 Apr;30(2):267-9. doi: 10.4103/0970-9185.130061.
2
Percutaneous retrieval of malpositioned, kinked and unraveled guide wire under fluoroscopic guidance during central venous cannulation.在透视引导下经皮取出中心静脉置管时位置不当、扭结和解开的导丝。
J Anaesthesiol Clin Pharmacol. 2014 Oct;30(4):582. doi: 10.4103/0970-9185.142885.
3
Case report: managing a knotted Seldinger wire in the subclavian vein during central venous cannulation.病例报告：中心静脉置管时处理锁骨下静脉内打结的塞丁格导丝
Can J Anaesth. 2007 May;54(5):375-9. doi: 10.1007/BF03022660.
4
Fracture of J-tipped guidewire during central venous catheterization and its successful removal under fluoroscopic guidance -A case report-.J 型导丝在中心静脉置管术中断裂及在透视引导下成功取出-病例报告-。
Korean J Anesthesiol. 2012 Nov;63(5):457-60. doi: 10.4097/kjae.2012.63.5.457. Epub 2012 Nov 16.
5
Successful removal of kinked J-guide wire under fluoroscopic guidance during central venous catheterization -A case report-.经荧光透视引导成功取出中心静脉置管过程中扭结的 J 型导丝——病例报告。
Korean J Anesthesiol. 2011 May;60(5):362-4. doi: 10.4097/kjae.2011.60.5.362. Epub 2011 May 31.
6
[Ultrasonic guided cannulation of the axillary vein in intensive care patients].[重症监护患者腋静脉的超声引导下置管术]
Anaesthesist. 1994 Oct;43(10):674-9. doi: 10.1007/s001010050109.
7
Immediate Removal of an Entrapped Central Venous Catheter Guide Wire.立即取出嵌顿的中心静脉导管导丝。
Prague Med Rep. 2019;120(1):18-23. doi: 10.14712/23362936.2019.7.
8
Extra Luminal Entrapment of Guide Wire; A Rare Complication of Central Venous Catheter Placement in Right Internal Jugular Vein.导丝腔内外嵌顿：右颈内静脉中心静脉置管的一种罕见并发症。
Bull Emerg Trauma. 2016 Oct;4(4):240-243.
9
Randomized clinical trial comparing ultrasound-guided procedure with the Seldinger's technique for placement of implantable venous ports.比较超声引导下操作与Seldinger技术植入可植入式静脉端口的随机临床试验。
Cell Biochem Biophys. 2014 Sep;70(1):559-63. doi: 10.1007/s12013-014-9956-x.
10
A Life-Threatening Mediastinal Hematoma After Central Venous Port System Implantation.中心静脉置管系统植入术后危及生命的纵隔血肿
Am J Case Rep. 2015 Dec 25;16:904-7. doi: 10.12659/ajcr.895486.

引用本文的文献

1
Percutaneous femoral access: Stuck guide wire, decannulation difficulty due to unravelling and knotting.经皮股动脉穿刺：导丝卡顿，因导丝散开和打结导致拔鞘困难。
J Cerebrovasc Endovasc Neurosurg. 2024 Jun;26(2):223-226. doi: 10.7461/jcen.2024.E2023.06.002. Epub 2024 Mar 27.
2
Central Line Catheters and Associated Complications: A Review.中心静脉导管及其相关并发症：综述
Cureus. 2019 May 22;11(5):e4717. doi: 10.7759/cureus.4717.
3
Diagnosis and Rescue of a Kinked Pulmonary Artery Catheter.扭曲肺动脉导管的诊断与抢救

本文引用的文献

1
Successful removal of kinked J-guide wire under fluoroscopic guidance during central venous catheterization -A case report-.经荧光透视引导成功取出中心静脉置管过程中扭结的 J 型导丝——病例报告。
Korean J Anesthesiol. 2011 May;60(5):362-4. doi: 10.4097/kjae.2011.60.5.362. Epub 2011 May 31.
2
Bedside technique to detect misplaced subclavian vein catheter in internal jugular vein.
Ann Card Anaesth. 2010 Jan-Apr;13(1):71-2. doi: 10.4103/0971-9784.58841.
3
The incidence and risk of central venous catheter malpositioning: a prospective cohort study in 1619 patients.中心静脉导管位置不当的发生率和风险：一项对1619例患者的前瞻性队列研究。
Case Rep Anesthesiol. 2015;2015:567925. doi: 10.1155/2015/567925. Epub 2015 May 13.
4
Kinking, unwinding and retrieval of the Seldinger guide wire.塞丁格导丝的扭结、解绕及回收
J Anaesthesiol Clin Pharmacol. 2014 Oct;30(4):581-2. doi: 10.4103/0970-9185.142883.
Anaesth Intensive Care. 2008 Jan;36(1):30-7. doi: 10.1177/0310057X0803600106.
4
Broken guide wire--a fault of design?导丝断裂——是设计缺陷吗？
Can J Anaesth. 2005 Oct;52(8):801-4. doi: 10.1007/BF03021773.
5
Percutaneous retrieval of chronic intravascular foreign bodies.经皮取出慢性血管内异物。
Cardiovasc Intervent Radiol. 2003 Sep-Oct;26(5):440-2. doi: 10.1007/s00270-003-2674-1.