Guide Wire Induced Cardiac Tamponade: The Soft J Tip Is Not So Benign

Dwivedi, Sankalp; Siddiqui, Fayez; Patel, Maitri; Cardozo, Shaun

doi:10.1155/2016/1436924

Cited by 6 publications

(10 citation statements)

References 8 publications

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“…Most of these reports referred to neonates (most of whom were of low birth weight, female, and premature) [ 7 ] and infants treated in pediatric intensive care units [ 8 ]. Patients with chronic diseases, and newborns, are more likely to have weak myocardial muscles and are therefore at a higher risk of perforation [ 5 ]. Our patient had thalassemia, and had received many blood transfusions.…”

Section: Discussionmentioning

confidence: 99%

“…CT had developed late after catheter insertion; some patients survived after pericardiocentesis or mediastinotomy. When we included guidewires in our search, all three reports referred to adults [ 5 , 14 ]. We excluded adult cardiac perforations caused by catheters ( Table 1 ) [ 3 , 7 , 10 , 13 , [18] , [19] , [20] , [21] , [22] ].…”

Section: Discussionmentioning

confidence: 99%

“…CP caused by CT may be affected by the time of catheter insertion, movement of the catheter tip, angle of insertion, movement of the cardiac chambers, and direct trauma [ 5 ]. CP associated with central catheter placement features puncture of the cardiac wall, superior vena cava, or inferior vena cava by the guidewire, dilator, or catheter per se [ 2 , 6 , 11 , 14 , 20 ].…”

Section: Discussionmentioning

confidence: 99%

“…All venous insertions feature a risk of CP. J-tipped guidewires are safe and rarely cause complications such as CP [ 5 ]. The J-tip is blunt; no sharp guidewire tip can contact or perforate any structure during travel [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

“…However, HCs may be associated with various complications, one of which is cardiac tamponade (CT)-related cardiac perforation (CP) [ 4 ]. Complications associated with HC insertion are similar to those associated with other central catheters and include arterial puncture, CP, hemo-/pneumothorax, thrombosis, and infections [ 5 ]. The mechanical complication such as; vascular issues and CP are the most serious life-threatening complications after central venous catheter insertion [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

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Hickman catheter-induced cardiac tamponade-related cardiac perforation management by mediastinotomy in children and a review of the literature

Cevik

Erek

2021

Trauma Case Reports

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Objective Hickman catheter placement rarely causes cardiac tamponade due to cardiac perforation in children. Cardiac perforation can be managed with timely perceive and appropriate approach. We present a case of the cardiac perforation related to Hickman catheter insertion in a 7-year-old girl and a review of the supporting literature. Case report The patient had previous history of Thalassemia and admitted to hospital for Hickman catheter placement for bone marrow transplantation. The catheter was placed in the right internal jugular vein by ultrasonography. During the postoperative period she had hypoxia, hypotension and tachycardia. The patient underwent an emergency surgery and there was a small perforation between vena cava superior and right atrium. That wound was managed by mediastinotomy. The patient was discharge on the 8th postoperative day. Conclusion Cardiac perforation is one of the rare and unexpected complications of Hickman catheter placement. Unfortunately, the complication may cause significant mortality. The prompt diagnosis and early intervention provides satisfactory results.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Hickman catheter-induced cardiac tamponade-related cardiac perforation management by mediastinotomy in children and a review of the literature

Cevik

Erek

2021

Trauma Case Reports

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A severe complication of J‐tip guide wire during catheterization: A case report and discussion

Song

et al. 2023

Seminars in Dialysis

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J-tip guide wire entrapment within the heart is a serious and dangerous complication that is rarely mentioned. We present a case in which the J-tip guide wire was entrapped in the right atrium during tunneled cuffed venous catheterization. We were unable to remove the guide wire using previously reported methods and concluded with surgery. Owing to the special structure of the guide wire itself, a safe removal process needs to be discussed. Patient consent for publication was obtained prior to the submission of the manuscript. | INTRODUCTIONTunneled cuffed venous catheters are widely used for intermediate to long-term hemodialysis access. Haemocatheter-related complications are well-known; however, those involving guide wires are rare. J-tip guide wire entrapment within the heart is a serious and dangerous complication that is rarely mentioned. Here, we report such a case, and the methods of removal described in previous literature are reviewed.An 11-year-old boy was hospitalized after a month of poor appetite. His serum creatinine increased to 860 μmol/L, and B-ultrasound showed bilateral renal atrophy. Echocardiography revealed mild tricuspid regurgitation. A chronic silicone oval catheter (Permcath, Covidien, Costa Rica) was inserted through the right internal jugular vein after the diagnosis of end stage renal disease. After confirming good venous return, a guide wire was inserted. When resistance was encountered or atrial premature beats were detected, the guide wire was withdrawn and re-inserted under electrocardiography monitoring.After two cycles, the wire suddenly failed to be pulled out or pushed Zhihong Lu and Junfeng Song contributed equally to this paper.

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Short peripheral intravenous cannula and straight-tip guide wire in ultrasound-guided neonatal central venous catheterization

et al. 2022

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Background: Inserting a J-tip guide-wire into a vein’s lumen is often difficult when using the Seldinger or modified Seldinger technique for central venous catheterization (CVC) in newborns. This study was designed to compare the efficacy and safety of guide-wire insertion using the combination of a short peripheral intravenous cannula with a straight-tip guide-wire vs. a needle with a J-tip guide-wire for ultrasound-guided (USG) cannulation of the internal jugular vein (IJV) in newborns using an in-plane technique. Methods: One hundred and thirty newborn patients (weight, 1.4-5.2 kg) scheduled for selective or emergency surgery, were randomly assigned to either the needle group (combined with a J-tip guide-wire) or cannula group (combined with a straight-tip guide-wire). The primary outcome was the rate of successful guide-wire insertion on the first attempt. The puncture attempts, catheter placement attempts, and mechanical complications were also compared between the groups. Results: The rate of successful guide-wire insertion on the first attempt was higher in the cannula group (97%) than in the needle group (76%) ( p < 0.05, χ2 = 11.233). Moreover, fewer insertion attempts were needed in the cannula group (1.0 ± 0.2) than in the needle group (1.7 ± 1.1) ( p < 0.05, 95% CI [0.449, 1.028]). The time to successful guide-wire insertion was shorter in the cannula group (63 ± 32 s) than in the needle group (92±50 s) ( p < 0.05, 95% CI [14.024, 43.063]). No differences were found about other catheterization parameters and complications between the groups. Conclusion: The short peripheral cannula combined with a straight-tip guide-wire was superior to the needle combined with a J-tip guide-wire for USG newborn IJV catheterization in terms of successful guide-wire insertion on the first attempt and overall number of insertion attempts.

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Guide Wire Induced Cardiac Tamponade: The Soft J Tip Is Not So Benign

Cited by 6 publications

References 8 publications

Hickman catheter-induced cardiac tamponade-related cardiac perforation management by mediastinotomy in children and a review of the literature

Hickman catheter-induced cardiac tamponade-related cardiac perforation management by mediastinotomy in children and a review of the literature

A severe complication of J‐tip guide wire during catheterization: A case report and discussion

Short peripheral intravenous cannula and straight-tip guide wire in ultrasound-guided neonatal central venous catheterization

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