J-guide wire Complication During Percutaneous Insertion of the Permanent Endocardial Electrode Through Subclavian Vein Puncture

Abstract

Using Littleford and Spector's introducer set, permanent endocardial electrodes were implanted in 11 patients through the subclavian vein puncture. In one patient, J-guide wire curled up to previously inserted catheter electrode for external pacemaking. Then, the guide was difficult to remove from the subclavian vein. First of all, catheter electrode was removed from left brachial vein. J-guide wire was then able to be drawn from the vein. In our knowlege, this is the first reported case of J-guide wire complication upon the subclavian vein puncture and electrode insertion. Its prevention and management of the complication are discussed in detail.