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Guidewire looping during central line insertion – Full Text

"Difficulty in advancing the wire could be suggestive of looping or other source of malposition" Spiro et al (2022).

"Difficulty in advancing the wire could be suggestive of looping or other source of malposition" Spiro et al (2022).

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Guidewire looping during central line insertion

Abstract:

Central venous cannulation is not a risk-free undertaking, and multiple punctures can increase the risk of complications [2]. Dilation can be particularly dangerous over a malpositioned wire [3], but wire manipulation may lead to accidental knotting or tangling on other structures [4]. While imaging of a wire within a vessel can be useful, it does not rule out looping. Difficulty in advancing the wire could be suggestive of looping or other source of malposition.

Reference:

Spiro JA, Pearsall MF, Daly Guris RJ. A novel solution for guidewire looping during central line insertion. Anaesth Rep. 2022 Apr 13;10(1):e12162. doi: 10.1002/anr3.12162. PMID: 35434634; PMCID: PMC9006226.

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