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首页> 外文期刊>Canadian journal of anesthesia: Journal canadien d'anesthesie >Case report: managing a knotted Seldinger wire in the subclavian vein during central venous cannulation.
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Case report: managing a knotted Seldinger wire in the subclavian vein during central venous cannulation.

机译：病例报告：在中央静脉插管过程中处理锁骨下静脉中打结的Seldinger钢丝。

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PURPOSE: To describe the successful removal of a knotted Seldinger wire from a subclavian vein, and review the design and structure of guidewires to formulate recommendations to minimize complications associated with the Seldinger technique. CLINICAL FEATURES: An 81-yr-old patient suffered from an intravascular knotting of a Seldinger wire during subclavian venous cannulation. We describe a technique for successful removal of knotted guidewire under fluoroscopic guidance using the vessel dilator of a central venous cannulation kit. In this case, the technique was successful without associated immediate or delayed complications. Although central venous cannulation with the Seldinger technique is a commonly performed procedure, it may result in numerous complications, including kinking, and rarely complete knotting of the guidewire. CONCLUSIONS: A thorough understanding of procedural complications and physical characteristics of the guidewire is vital in order to ensure patient safety when using the Seldinger technique for central venous cannulation. We have reviewed the relevant literature for guidewire design and structure, associated complications, and provide recommendations for safe use of guidewires.
机译：目的：描述成功地从锁骨下静脉去除打结的Seldinger线，并回顾导丝的设计和结构以提出建议，以尽量减少与Seldinger技术相关的并发症。临床特征：一名81岁的患者在锁骨下静脉插管期间遭受了Seldinger钢丝的血管内打结。我们描述了一种使用中央静脉插管套件的血管扩张器在荧光镜引导下成功去除打结的导丝的技术。在这种情况下，该技术是成功的，没有立即或延迟的并发症。尽管使用Seldinger技术进行中心静脉插管是一种常见的操作，但它可能导致许多并发症，包括扭结，并且很少会完全导丝打结。结论：对于使用Seldinger技术进行中央静脉插管术时，要确保患者安全，彻底了解导丝的手术并发症和物理特征至关重要。我们已经回顾了有关导丝设计和结构，相关并发症的相关文献，并提供了安全使用导丝的建议。

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