title: [Knotted Seldinger wire].
abstract: Central venous catheters are usually positioned using the Seldinger technique with a guidewire. This article reports a case where the guidewire was inserted via the left subclavian vein with the landmark technique. The guidewire became kinked, pierced the vessel wall and became stuck forming several loops within the adjacent tissue of the vein. Several attempts were made to remove the guidewire by interventional radiology but were unsuccessful. Due to the critical condition of the patient an operation was considered too perilous and the guidewire was finally left in situ. No formation of local venous thrombosis could be detected.
authors.affiliation: Universitätsklinik für Anästhesie und Intensivmedizin, Medizinische Universität Innsbruck, Anichstr. 36, 6020, Innsbruck, Österreich. Anna.Fiala@reflex.at.
authors.forename: A
authors.initials: A
authors.lastname: Fiala
authors.affiliation: Universitätsklinik für Radiologie, Medizinische Universität Innsbruck, Innsbruck, Österreich.
authors.forename: B
authors.initials: B
authors.lastname: Glodny
authors.affiliation: Universitätsklinik für Allgemeine und Chirurgische Intensivmedizin, Medizinische Universität Innsbruck, Innsbruck, Österreich.
authors.forename: I H
authors.initials: IH
authors.lastname: Lorenz
mesh_terms: D000368:Aged; D002405:Catheterization, Central Venous / Q000295:instrumentation / Q000379:methods*; D002408:Catheters, Indwelling; D062905:Central Venous Catheters; D020878:Device Removal; D004548:Elasticity; D006801:Humans; D008297:Male; D019300:Medical Errors; D015642:Radiology, Interventional; D013350:Subclavian Vein / Q000293:injuries; D013718:Tensile Strength
keywords: Central venous catheter; Device removal; Elasticity; Subclavian vein; Tensile strength