Central venous catheter placement during extracorporeal membrane oxygenation therapy

Intravascular guide wire aspiration in a patient on extracorporeal membrane oxygenation: A case report

“…[1,6] Comparing the procedures during which time wire aspiration has occurred in previous reports, 1 previous case occurred immediately after guide wire insertion after venipuncture and the other occurred during use of a vein dilator. [1,6] Our case occurred during the final stage of CVC insertion. Therefore, guide wire aspiration can occur at any time while the guide wire remains in the blood vessel for CVC insertion.…”

“…Most patients on ECMO require central venous catheter (CVC) placement for various purposes, such as fluid administration, vasopressor administration, or central venous pressure monitoring. [1] Complications occur in about 15% of patients during CVC insertion; among these, loss of the entire intravenous guide wire is very rare. [2,3] Although there are few reports of intravascular guide wire loss, it occurs more frequently in clinical practice than reported, possibly due to fear of legal issues.…”

“…Most patients on ECMO require central venous catheter (CVC) placement for various purposes, such as fluid administration, vasopressor administration, or central venous pressure monitoring. [ 1 ]…”

Extracorporeal Membrane Oxygenation: The New Jack-of-All-Trades?

“…Aspiration of the guidewire into the venous drainage line has been reported. 19 If feasible, turning down the ECMO flow during placement would reduce these risks.…”

Transjugular central venous catheter guidewire embolism to venoarterial extracorporeal membrane oxygenation cannula

“…Transient ECMO flow reduction with diligent guidewire control during CVC insertion in a VA ECMO patient [ 1 ] is vital due to the negative caval pressure. Maintaining continuous wire contact or clamping the guidewire [ 1 , 2 ] to the sterile drape offers a simple solution to prevent catastrophic complications [ 3 , 4 ].…”