title: Broken guide wire--a fault of design?
abstract: OBJECTIVE
  To report a potentially serious complication resulting from a faulty guide wire during central venous catheterization.
  
  
  METHODS
  We report breakage of a guide wire with potential severe implications for a 47-yr-old critical care patient. The tip of the J-wire became lodged in the internal jugular vein, and required fluoroscopic guidance for removal, which occurred without complication.
  
  
  CONCLUSIONS
  Breakage of a guide wire during central venous catheter insertion has been very rarely reported. However, inherent faults in design or in the manufacturing process of the guide wire could lead to this rare complication. A simple bedside test is proposed to detect breakage in the core section of the guide wire.
authors.affiliation: Department of Anesthesiology, Hospital Cologne-Merheim, University Witten/Herdecke, Ostmerheimer Str. 200, D - 51109 Köln, Germany. MonacaE@Kliniken-Koeln.de
authors.forename: Enrico
authors.initials: E
authors.lastname: Monaca
authors.forename: Stefan
authors.initials: S
authors.lastname: Trojan
authors.forename: John
authors.initials: J
authors.lastname: Lynch
authors.forename: Manfred
authors.initials: M
authors.lastname: Doehn
authors.forename: Frank
authors.initials: F
authors.lastname: Wappler
mesh_terms: D002405:Catheterization, Central Venous / Q000295:instrumentation*; D002496:Central Venous Pressure / Q000502:physiology; D003422:Critical Care; D004868:Equipment Failure; D006801:Humans; D007239:Infections / Q000209:etiology / Q000628:therapy; D007601:Jugular Veins / Q000293:injuries; D007869:Leg Injuries / Q000150:complications; D008297:Male; D008875:Middle Aged