Guide Wire Induced Cardiac Tamponade: The Soft J Tip Is Not So Benign
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-tippe...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Critical Care |
| Online Access: | http://dx.doi.org/10.1155/2016/1436924 |
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| _version_ | 1850235980459540480 |
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| author | Sankalp Dwivedi Fayez Siddiqui Milan Patel Shaun Cardozo |
| author_facet | Sankalp Dwivedi Fayez Siddiqui Milan Patel Shaun Cardozo |
| author_sort | Sankalp Dwivedi |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-14609080349349fe987c4e57eaec4e4a |
| institution | OA Journals |
| issn | 2090-6420 2090-6439 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Critical Care |
| spelling | doaj-art-14609080349349fe987c4e57eaec4e4a2025-08-20T02:02:05ZengWileyCase Reports in Critical Care2090-64202090-64392016-01-01201610.1155/2016/14369241436924Guide Wire Induced Cardiac Tamponade: The Soft J Tip Is Not So BenignSankalp Dwivedi0Fayez Siddiqui1Milan Patel2Shaun Cardozo3St. Mary Mercy Livonia, Department of Internal Medicine, Livonia, MI 48154, USAWayne State University Detroit Medical Center, Detroit, MI 48201, USASt. Mary Mercy Livonia, Department of Internal Medicine, Livonia, MI 48154, USAWayne State University Detroit Medical Center, Detroit, MI 48201, USACentral 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.http://dx.doi.org/10.1155/2016/1436924 |
| spellingShingle | Sankalp Dwivedi Fayez Siddiqui Milan Patel Shaun Cardozo Guide Wire Induced Cardiac Tamponade: The Soft J Tip Is Not So Benign Case Reports in Critical Care |
| title | Guide Wire Induced Cardiac Tamponade: The Soft J Tip Is Not So Benign |
| title_full | Guide Wire Induced Cardiac Tamponade: The Soft J Tip Is Not So Benign |
| title_fullStr | Guide Wire Induced Cardiac Tamponade: The Soft J Tip Is Not So Benign |
| title_full_unstemmed | Guide Wire Induced Cardiac Tamponade: The Soft J Tip Is Not So Benign |
| title_short | Guide Wire Induced Cardiac Tamponade: The Soft J Tip Is Not So Benign |
| title_sort | guide wire induced cardiac tamponade the soft j tip is not so benign |
| url | http://dx.doi.org/10.1155/2016/1436924 |
| work_keys_str_mv | AT sankalpdwivedi guidewireinducedcardiactamponadethesoftjtipisnotsobenign AT fayezsiddiqui guidewireinducedcardiactamponadethesoftjtipisnotsobenign AT milanpatel guidewireinducedcardiactamponadethesoftjtipisnotsobenign AT shauncardozo guidewireinducedcardiactamponadethesoftjtipisnotsobenign |