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.
Highlights
In 1953 Seldinger described a simple, over a guidewire, approach for catheter insertion [1]
The Seldinger technique is widely used in the intensive care unit (ICU) to place central venous catheters (CVCs), hemodialysis (HD) catheters, arterial catheters, and chest tubes
A case of a lost guidewire during central venous catheter (CVC) insertion is reported followed by a review of the literature
Summary
In 1953 Seldinger described a simple, over a guidewire, approach for catheter insertion [1]. It offered considerable advantages over the previously used methods, revolutionizing the field of bedside procedures. The Seldinger technique is widely used in the intensive care unit (ICU) to place central venous catheters (CVCs), hemodialysis (HD) catheters, arterial catheters, and chest tubes. It has a number of associated potential risks. Guidewire-related complications in particular are rarely reported; when they do occur, they can be accompanied by significant morbidity and mortality. A case of a lost guidewire during central venous catheter (CVC) insertion is reported followed by a review of the literature
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