Aspiration of the guidewire of a central venous jugular catheter

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During this procedure, the guidewire was inserted into the hub of the needle and the needle was retracted from the skin without any difficulty. Thereafter, the dilating device was passed over the guidewire to enlarge the insertion site, and during the dilation, the guidewire was aspirated by the venous ECMO cannula into the ECMO tubing” Seguin et al (2019).

Extract:

A 64 year-old man was hospitalized in intensive care unit for cardiogenic shock requiring an urgent veno-arterial extracorporeal membrane oxygenation (ECMO). The insertion of the venous cannula was performed via the right femoral vein and the cannula was placed just at the entry of the right atrium. After this procedure, a central venous line placement was attempted through the right internal venous jugular, according to the Seldinger technique. During this procedure, the guidewire was inserted into the hub of the needle and the needle was retracted from the skin without any difficulty. Thereafter, the dilating device was passed over the guidewire to enlarge the insertion site, and during the dilation, the guidewire was aspirated by the venous ECMO cannula into the ECMO tubing.

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Reference:

Seguin, P., Arnouat, M. and Launey, Y. (2019) Aspiration of the guidewire of a central venous jugular catheter by the venous cannula of a veno-arterial extracorporeal membrane oxygenation. European Heart Journal. Case Reports. 3(2), p.ytz085. doi: 10.1093/ehjcr/ytz085.

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