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BJA Advance Access originally published online on October 30, 2006
British Journal of Anaesthesia 2007 98(1):89-92; doi:10.1093/bja/ael286
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© The Board of Management and Trustees of the British Journal of Anaesthesia 2006. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

The entrapped central venous catheter

J. Dhanani1,2, S. Senthuran1,2, R. Olivotto3, R. J. Boots1,2 and J. Lipman1,2,*

1 Department of Intensive Care Medicine, Royal Brisbane and Women's Hospital Brisbane, Australia
2 Anaesthesiology and Critical Care, The University of Queensland Brisbane, Australia
3 Department of Radiology, Royal Brisbane and Women's Hospital Brisbane, Australia

*Corresponding author: Department of Intensive Care Medicine, 3rd Floor Ned Hanlon Building, Royal Brisbane and Women's Hospital Butterfield Street, Herston 4029, Brisbane, Australia. E-mail: j.lipman{at}uq.edu.au

The central venous catheter (CVC) is associated with numerous complications more so during the process of insertion. We report for the first time how an indwelling catheter was entrapped by a replacement catheter on the same side, after being speared by the introducer needle and guidewire. The diagnosis was made when there was difficulty in removing the old catheter. Subsequently, interventional radiology services were used to define the problem and help in removal of the entrapped catheter. The mechanism of entrapment and the actual procedure used for removal of the catheter is described. The dangers of insertion of a CVC on the same side as a pre-existing one are highlighted.


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This article has been cited by other articles:


Home page
 Br J AnaesthHome page
V. Paul, J. Dhanani, S. Senthuran, R. Olivotto, R. J. Boots, and J. Lipman
Entrapped central venous catheter
Br. J. Anaesth., May 1, 2007; 98(5): 695 - 695.
[Full Text] [PDF]

E-letters:

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Won the battle but lost the war ?
Dr V Paul, et al.
British Journal of Anaesthesia, 4 Jan 2007 [Full text]
Reply to the questions
Jayesh Dhanani, et al.
British Journal of Anaesthesia, 19 Jan 2007 [Full text]
Entrapped central venous catheter
prakash k. dubey
British Journal of Anaesthesia, 16 Feb 2007 [Full text]

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