Vishal Yadav - Academia.edu (original) (raw)

Papers by Vishal Yadav

Research paper thumbnail of Loss of guide wire: A lesson learnt review of literature

Journal of Surgical Technique and Case Report, 2013

INTRODUCTION C entral venous catheterization is a routine technique in emergency department and i... more INTRODUCTION C entral venous catheterization is a routine technique in emergency department and intensive care unit. Central venous catheters (CVCs) are needed for monitoring patients in special conditions and as a route for parenteral nutrition. Depending on the catheter type, cannulation is performed at different sites such as the jugular, subclavian, femoral, and brachial veins. Complications associated with the CVCs are infection, failure to place the catheter, arterial puncture, improper catheter position, pneumothorax, hematoma, hemothorax, asystolic cardiac arrest of unknown etiology, and inferior vena cava (IVC) trauma. [1] Infection is the most common complication in subclavian vein route; though arrhythmias and air embolism can occur. [2] These complications occur in about 12% of cases. [2,3] One of these extremely rare complications is intravascular loss of a guide wire, which is usually recognized immediately or sometimes with delay. [2-5] Here, we elucidate a case of retained guide wire during cannulation of the right external iliac vein, which was successfully treated with exploration of right iliac vessels.

Research paper thumbnail of Loss of guide wire: A lesson learnt review of literature

Journal of Surgical Technique and Case Report, 2013

INTRODUCTION C entral venous catheterization is a routine technique in emergency department and i... more INTRODUCTION C entral venous catheterization is a routine technique in emergency department and intensive care unit. Central venous catheters (CVCs) are needed for monitoring patients in special conditions and as a route for parenteral nutrition. Depending on the catheter type, cannulation is performed at different sites such as the jugular, subclavian, femoral, and brachial veins. Complications associated with the CVCs are infection, failure to place the catheter, arterial puncture, improper catheter position, pneumothorax, hematoma, hemothorax, asystolic cardiac arrest of unknown etiology, and inferior vena cava (IVC) trauma. [1] Infection is the most common complication in subclavian vein route; though arrhythmias and air embolism can occur. [2] These complications occur in about 12% of cases. [2,3] One of these extremely rare complications is intravascular loss of a guide wire, which is usually recognized immediately or sometimes with delay. [2-5] Here, we elucidate a case of retained guide wire during cannulation of the right external iliac vein, which was successfully treated with exploration of right iliac vessels.