Coiling of guide wire in the internal jugular vein

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“There are possibilities of coiling and kinking of the guide wire inside the vessel during insertion by Seldinger technique” Pal et al (2014).

Reference:

Pal, R.K., Laha, B., Nandy, S. and Biswas, R. (2014) Coiling of guide wire in the internal jugular vein during central venous catheter insertion: A rare complication. Indian Journal of Anaesthesia. 58(6), p.786-8.

Extract:

“There are possibilities of coiling and kinking of the guide wire inside the vessel during insertion by Seldinger technique, in addition to the possibility of kinking outside the vessel. Since the complication can be serious, we recommend that force should not be used when even little resistance is encountered during threading of the guide wire and bedside chest X-ray facility should be available to check for guide wire position if malpositioning is suspected.”

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