Guide Wire Ablation During Central Venous Catheter Insertion : A Case Report

Abstract

An eight-month-old boy with congenital immuno-insufficiency and pneumocystis carini pneumonia underwent CV catheter insertion through the subclavian vein using the Seldinger method. During this procedure, the guide wire was ablated and wire of about 3 cm in length remained in the subclavian region. An angiogram showed that the fragment was out side of the vein. Five months later, his general condition improved and the remaining guide wire section was removed under general anesthesia. In small infants, there is little merit in using the J-shaped guide wire, furthermore, it may cause an extraluminal aberration or wire damage.