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. 2016:2016:1436924.
doi: 10.1155/2016/1436924. Epub 2016 Aug 11.

Guide Wire Induced Cardiac Tamponade: The Soft J Tip Is Not So Benign

Sankalp Dwivedi  1 , Fayez Siddiqui  2 , Milan Patel  1 , Shaun Cardozo  2
Affiliations

Guide Wire Induced Cardiac Tamponade: The Soft J Tip Is Not So Benign

Sankalp Dwivedi et al. Case Rep Crit Care. 2016.

Abstract

Central venous catheter (CVC) insertion rarely causes cardiac tamponade due to perforation. Although it is a rare complication, it can be lethal if not identified early. We report a case of cardiac tamponade caused by internal jugular (IJ) central venous catheter (CVC) insertion using a soft J-tipped guide wire which is considered safe and rarely implicated with cardiac tamponade. A bedside transthoracic echocardiogram (TTE) revealed a pericardial effusion with tamponade. An emergent bedside pericardiocentesis was done revealing bloody fluid and resulted in clinical stabilization.

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