Cardiac perforation by a guide wire during subclavian catheter insertion.
We report a patient in whom cardiac perforation was directly caused by a straight soft tipped guide wire used to introduce a subclavian dialysis catheter. We recommend the use of J tip guide wires to avoid this life threatening complication.
Blake
P G
PG
Division of Nephrology, Toronto Western Hospital, Ontario, Canada.
Uldall
R
R
D002305:Cardiac Tamponade / Q000209:etiology; D002405:Catheterization, Central Venous / Q000295:instrumentation*; D005260:Female; D006325:Heart Atria / Q000293:injuries; D006335:Heart Injuries / Q000209:etiology*; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy*; D008875:Middle Aged; D013350:Subclavian Vein; D014951:Wounds, Stab / Q000209:etiology*