Abstract
We report a patient in whom cardiac perforation was directly caused by a straight soft tipped guide wire used to introduce a subclavian dialysis catheter. We recommend the use of J tip guide wires to avoid this life threatening complication.
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References
1.
Barton BR
,
Herman G
,
Weil R.
Cardiothoracic emergencies associated with subclavian hemodialysis catheters J . JAMA 1983 ; 250 :2660 –2 .
2.
Tapson J
,
Uldall PR
. Fatal hemothorax caused by a subclavian hemodialysis catheter . Arch Intern Med 1984 ; 144 :1685 –7 .
3.
Fine A
,
Churchill D
,
Gault M.
Fatality due to subclavian dialysis catheter . Nephron 1981 ; 29 :99 –100 .
4.
Merrill RM
,
Raab SO
. Dialysis catheter induced pericardial tamponade . Arch Intern Med 1982 ; 142 :1751 –3 .
5.
Aldridge ME
,
Jay AWL
. Central venous catheters and heart perforation . Can Med Assoc J 1986 ; 135 :1082 –4 .
6.
Tapson JS
,
Uldall PR
. Avoiding deaths from subclavian cannulation for hemodialysis . Int J Artif Organs 1983 ; 6 :227 –30 .
