Saito Hiroaki, Suda Tsuyoshi, Nishida Yoji
Department of Internal Medicine Kanazawa Municipal Hospital Kanazawa Japan.
Department of Surgery Kanazawa Municipal Hospital Kanazawa Japan.
Clin Case Rep. 2020 Dec 15;9(2):1035-1036. doi: 10.1002/ccr3.3662. eCollection 2021 Feb.
The formation of guidewire knots during PICC insertion is an extreme rare complication. Forced insertion or withdrawal of a knotted guidewire may cause tearing of the veins. Surgical guidewire removal is required due to risk of vascular injury.
经外周静脉穿刺中心静脉置管(PICC)过程中导丝打结是一种极其罕见的并发症。强行插入或拔出打结的导丝可能会导致血管撕裂。由于存在血管损伤风险,需要通过手术取出导丝。