At the final stages of a coronary artery bypass graft operation on a 64-year-old man, an experienced physician attempted to insert an intra-aortic balloon pump into the femoral artery via the Seldinger technique. However, while the balloon pump was being passed over the guide wire, the latter was completely lost. The guide wire should be held at the tip at all times to prevent passage into the ...

Methods Randomized non-inferiority single-centre study. All patients admitted in intensive care unit (ICU) or operating room, requiring a central vein catheterization (CVC) without contraindication for SVC, were randomly assigned to subclavian or axillary groups. The primary endpoint was to compare success rate of each approach. The secondary endpoints were: strategy success rates, catheter pos...

Corresponding author: Dong Jun Lee, M.D., Department of Anesthesiology and Pain Medicine, Seoul Paik Hospital, Inje University College of Medicine, Jeodong 2-ga, Jung-gu, Seoul 100-032, Korea. Tel: 82-2-2270-0096, Fax: 82-2-2270-0095, E-mail: [email protected] This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http:// creativ...

477 The Editor, Central venous catheterization plays important roles in cardiac surgery. Although a relatively safe procedure, it is associated with multiple complications. Malposition of the catheter tip is one of them. This report presents a rare malposition of a catheter into left internal mammary vein (IMV). It also emphasizes the need for routine use of ultrasound to minimize such complica...

A 47-year-old woman with stage IV chronic kidney disease developed a fistula between common carotid artery (CCA) and internal jugular vein (IJV) during central catheterization of the right IJV. The patient was treated with a self-expandable graft stent, which achieved successful closure of the carotid-jugular fistula. As demonstrated in our case, self-expandable graft stents could be a feasible...