Guide Wire Induced Cardiac Tamponade: The Soft J Tip Is Not So Benign.
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.
St. Mary Mercy Livonia, Department of Internal Medicine, Livonia, MI 48154, USA.
Sankalp
0000-0003-0687-7439
S
Dwivedi
Wayne State University Detroit Medical Center, Detroit, MI 48201, USA.
Fayez
0000-0002-2281-8079
F
Siddiqui
St. Mary Mercy Livonia, Department of Internal Medicine, Livonia, MI 48154, USA.
Milan
M
Patel
Wayne State University Detroit Medical Center, Detroit, MI 48201, USA.
Shaun
0000-0001-7239-1192
S
Cardozo