Entrapment of J-tip guidewires by Venatech and stainless-steel Greenfield vena cava filters during central venous catheter placement: percutaneous management in four patients.
We present four patients in whom bedside placement of a central venous catheter was complicated by entrapment of a J-tip guidewire by a previously placed vena cava (VC) filter. Two Venatech filters were fragmented and displaced into the superior VC or brachiocephalic vein during attempted withdrawal of the entrapped wire. Two stainless-steel Greenfield filters remained in place and intact. Fluoroscopically guided extraction of both wires entrapped by Greenfield filters was successfully performed in the angiography suite.
Andrews
R T
RT
Dotter Interventional Institute, Oregon Health Sciences University, Portland 97201-3098, USA.
Geschwind
J F
JF
Savader
S J
SJ
Venbrux
A C
AC
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000792:Angiography; D016121:Brachiocephalic Veins / Q000000981:diagnostic imaging; D002405:Catheterization, Central Venous / Q000009:adverse effects* / Q000295:instrumentation; D004868:Equipment Failure; D017809:Fatal Outcome; D005260:Female; D005547:Foreign Bodies / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008297:Male; D011651:Pulmonary Artery / Q000000981:diagnostic imaging; D013193:Stainless Steel; D016896:Treatment Outcome; D016306:Vena Cava Filters
D013193:Stainless Steel