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首页> 美国卫生研究院文献>Korean Journal of Anesthesiology >Fracture of J-tipped guidewire during central venous catheterization and its successful removal under fluoroscopic guidance -A case report-
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Fracture of J-tipped guidewire during central venous catheterization and its successful removal under fluoroscopic guidance -A case report-

机译：中心静脉导管插入过程中J型导丝断裂并在荧光镜引导下成功切除-病例报告-

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摘要

Central venous catheterization by Seldinger's technique uses a guidewire which may cause complications such as kinking, knotting and fracture. Fractured guidewire may lead to severe outcomes such as embolization, and removal of it may also cause problems such as vessel damage. We experienced a case of right internal jugular venous catheterization complicated by guidewire fracture entrapped in the central venous catheter, and its successful removal under fluoroscopic guidance using snare-loop. The patient recovered without any complications. When resistance is felt during insertion or withdrawal of the guidewire, force should not be applied to the guidewire and care should also be exercised when passing the tissue dilator over the guidewire. Clinicians should be aware of this rare complication and snare-loop technique could be considered as one of the methods for removal of the fractured guidewire.
机译：Seldinger技术的中央静脉导管插入术使用导丝，这可能会导致诸如扭结，打结和骨折等并发症。破裂的导丝可能导致严重的后果，例如栓塞，将其移除也可能导致诸如血管损伤的问题。我们经历了一例右颈内静脉导管插入术，并在中心静脉导管内夹入导丝断裂的情况，并在使用军鼓圈的荧光镜引导下成功将其清除。病人康复无任何并发症。如果在插入或拔出导线时感觉到阻力，则不应将力施加到导线上，并且在将组织扩张器越过导线时也应格外小心。临床医生应该意识到这种罕见的并发症，而圈套圈技术可被视为去除导丝断裂的方法之一。

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