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Cho JB, Park IY, Sung KY, et al. Use of video-assisted thoracoscopic surgery to retrieve a broken guidewire. J Korean Surg Soc. 2013;85(5):244-7doi: 10.4174/jkss.2013.85.5.244.
Cho, J. B., Park, I. Y., Sung, K. Y., Baek, J. M., Lee, J. H., & Lee, D. S. (2013). Use of video-assisted thoracoscopic surgery to retrieve a broken guidewire. Journal of the Korean Surgical Society, 85(5), 244-7. https://doi.org/10.4174/jkss.2013.85.5.244
Cho, Jin-Beom, et al. "Use of video-assisted thoracoscopic surgery to retrieve a broken guidewire." Journal of the Korean Surgical Society vol. 85,5 (2013): 244-7. doi: https://doi.org/10.4174/jkss.2013.85.5.244
Cho JB, Park IY, Sung KY, Baek JM, Lee JH, Lee DS. Use of video-assisted thoracoscopic surgery to retrieve a broken guidewire. J Korean Surg Soc. 2013 Nov;85(5):244-7. doi: 10.4174/jkss.2013.85.5.244. Epub 2013 Oct 25. PMID: 24266017; PMCID: PMC3834025.
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J Korean Surg Soc. 2013 Nov;85(5):244-7. doi: 10.4174/jkss.2013.85.5.244. Epub 2013 Oct 25.

Use of video-assisted thoracoscopic surgery to retrieve a broken guidewire.

Journal of the Korean Surgical Society

Jin-Beom Cho, Il-Young Park, Ki-Young Sung, Jong-Min Baek, Jun-Hyun Lee, Do-Sang Lee

Affiliations

  1. Department of Surgery, Bucheon St. Mary's Hospital, The Catholic University of Korea College of Medicine, Bucheon, Korea.

PMID: 24266017 PMCID: PMC3834025 DOI: 10.4174/jkss.2013.85.5.244

Abstract

Subclavian venous catheterization was once widely used for volume resuscitation, emergency venous access, chemotherapy, parenteral nutrition, and hemodialysis. However, its use has drastically reduced recently because of life-threatening complications such as hemothorax, pneumothorax. In this case, a patient admitted for a scheduled operation underwent right subclavian venous catheterization for preoperative, intraoperative, and postoperative volume resuscitation and parenteral nutrition. The procedure was performed by an experienced senior resident. Despite detecting slight resistance during the guidewire insertion, the resident continued the procedure to the point of being unable to advance or remove it, then attempted to forcefully remove the guidewire, but it broke and became entrapped within the thorax. We tried to remove the guidewire through infraclavicular skin incision but failed. So video-assisted thoracoscopic surgery was used to remove the broken guidewire. This incident demonstrates the risks of subclavian venous catheterization and the importance of using a proper and gentle technique.

Keywords: Broken guidewire; Central venous catheterization; Complications; Subclavian venous catheterization; Video assisted thoracic surgery

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