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

Autor: Sankalp Dwivedi, Fayez Siddiqui, Milan Patel, Shaun Cardozo
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Zdroj: Case Reports in Critical Care, Vol 2016 (2016)
Druh dokumentu: article
ISSN: 2090-6420
2090-6439
DOI: 10.1155/2016/1436924
Popis: Central venous catheter (CVC) insertion rarely causes cardiac tamponade due to perforation. Although it is a rare complication, it can be lethal if not identified early. We report a case of cardiac tamponade caused by internal jugular (IJ) central venous catheter (CVC) insertion using a soft J-tipped guide wire which is considered safe and rarely implicated with cardiac tamponade. A bedside transthoracic echocardiogram (TTE) revealed a pericardial effusion with tamponade. An emergent bedside pericardiocentesis was done revealing bloody fluid and resulted in clinical stabilization.
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