Biomaterial Database

[Repositioning of a central venous catheter with a guide wire with movable core]. 1999

T Schmitz-Rode, and M Kilbinger, and R W Günther

Klinik für Radiologische Diagnostik, Universitätsklinikum der RWTH Aachen. smiro@rad.rwth-aachen.de

OBJECTIVE A simple method to redirect malpositioned central venous catheters using a guide wire with movable core is described. METHODS A 0.89 mm guide wire with movable core is inserted into the catheter. The core is withdrawn for a few centimeters producing a floppy wire tip segment, which follows the malpositioned course of the catheter. The core is then advanced in small steps, until the catheter tip flips into the correct vein. RESULTS In 8 cases rapid repositioning of malpositioned catheters was accomplished with this technique, without moving the catheters at the entry site. CONCLUSIONS The repositioning technique described is simple, fast, and inexpensive. Movement of the catheter at the entrance site is not necessary, thus not jeopardizing sterility, and without the need to solve the suture fixation.

UI	MeSH Term	Description	Entries
D010690	Phlebography	Radiographic visualization or recording of a vein after the injection of contrast medium.	Venography,Phlebographies,Venographies
D002405	Catheterization, Central Venous	Placement of an intravenous CATHETER in the subclavian, jugular, or other central vein.	Central Venous Catheterization,Venous Catheterization, Central,Catheterization, Central,Central Catheterization,Catheterizations, Central,Catheterizations, Central Venous,Central Catheterizations,Central Venous Catheterizations,Venous Catheterizations, Central
D004868	Equipment Failure	Failure of equipment to perform to standard. The failure may be due to defects or improper use.	Defects, Equipment,Device Failure,Failure, Equipment,Malfunction, Equipment,Medical Device Failure,Misuse, Equipment,Device Failure, Medical,Device Failures, Medical,Failure, Medical Device,Failures, Medical Device,Defect, Equipment,Device Failures,Equipment Defect,Equipment Defects,Equipment Failures,Equipment Malfunction,Equipment Malfunctions,Equipment Misuse,Equipment Misuses,Failure, Device,Failures, Device,Failures, Equipment,Malfunctions, Equipment,Misuses, Equipment
D005548	Foreign-Body Migration	Migration of a foreign body from its original location to some other location in the body.	Foreign Body Migration,Foreign-Body Migrations,Migration, Foreign-Body,Migrations, Foreign-Body
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013909	Thorax	The upper part of the trunk between the NECK and the ABDOMEN. It contains the chief organs of the circulatory and respiratory systems. (From Stedman, 25th ed)	Chest,Thoraces,Chests,Thorace
D019233	Retreatment	The therapy of the same disease in a patient, with the same agent or procedure repeated after initial treatment, or with an additional or alternate measure or follow-up. It does not include therapy which requires more than one administration of a therapeutic agent or regimen. Retreatment is often used with reference to a different modality when the original one was inadequate, harmful, or unsuccessful.	Retreatments