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The entrapped central venous catheter
Authors:Dhanani J  Senthuran S  Olivotto R  Boots R J  Lipman J
Affiliation:1 Department of Intensive Care Medicine, Royal Brisbane and Women's Hospital Brisbane, Australia
2 Anaesthesiology and Critical Care, The University of Queensland Brisbane, Australia
3 Department of Radiology, Royal Brisbane and Women's Hospital Brisbane, Australia
Abstract:
The central venous catheter (CVC) is associated with numerouscomplications more so during the process of insertion. We reportfor the first time how an indwelling catheter was entrappedby a replacement catheter on the same side, after being spearedby the introducer needle and guidewire. The diagnosis was madewhen there was difficulty in removing the old catheter. Subsequently,interventional radiology services were used to define the problemand help in removal of the entrapped catheter. The mechanismof entrapment and the actual procedure used for removal of thecatheter is described. The dangers of insertion of a CVC onthe same side as a pre-existing one are highlighted.
Keywords:complications, catheter misplacement   equipment, cannulae intravascular
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