Guidewire retention is a severe but preventable complication from central venous catheter (CVC) insertion. There were three cases of guidewire retention during CVC insertion in the medical intensive care unit (MICU) in Singapore General Hospital, in the period between December 2011 and February 2012. The primary objective of this quality improvement project was to eliminate future incidences of...

A lost guidewire is a hazardous, yet completely preventable, and rare complication associated with central venous catheter insertion. Here, we report a case of a lost guidewire in a patient presented with persistent abdominal pain. The guidewire was retrieved completely during a surgical operation after the diagnosis had been confirmed by radiologic studies. Following some tips during insertion...

Direct endovascular access to the anterior cerebral artery (ACA) with a guidewire and catheter is not always possible. A C-shaped guidewire advanced as a loop into the middle cerebral artery and then withdrawn to advance the guidewire into the ACA is a way to gain endovascular access to the ACA when the direct approach is unsuccessful.

OBJECTIVE To develop a simple and versatile catheter system for complex cardiac catheterisation because angiography and pressure measurements during diagnostic and interventional cardiac catheterisation are often unsatisfactory. METHODS The Multi-Track Angio catheter system is a single lumen side-hole catheter with a short distal extension containing a lumen for a standard guidewire. The cath...

We present a case of a patient who needed rapid switch from intra-aortic balloon pumping (IABP) to percutaneous cardiopulmonary support (PCPS)/venoarterial extracorporeal membrane oxygenation. It is difficult to switch from IABP to PCPS, because 0.035-inch guidewires cannot pass the IABP guidewire lumen (0.025-inch compatible), and the IABP sheath needs to be removed together with the IABP cath...

Guidewire insertion is an imperative task of minimally invasive medical procedures. During a procedure surgeons need to steer long flexible thin wires through a patient’s blood vessels to reach a clinical target. In this paper, we present a novel approach to model haptics of guidewire insertion process for training simulation. The algorithm also allows for the analysis of the insertion process ...

Objectives The objectives of this work are to compare the outcomes between loach guidewire and super-stiff during percutaneous nephrolithotomy (PCNL) find potential indications different guidewires. Patients methods We retrospectively reviewed our institutional PCNL database from 2017 2021. who underwent guided by were assigned group A (489 patients); patients received B (269 patients). Preoper...

BACKGROUND/AIMS Endoscopic extraction of bile duct stones is difficult and often complicated in patients with a Billroth II gastrectomy. We evaluated a simpler technique to achieve an adequate ampullary opening for the removal of choledocholithiasis using endoscopic papillary large balloon dilation (EPLBD) combined with a guidewire-assisted needle-knife papillotomy. METHODS Sixteen patients w...

A 66-year-old male was treated percutaneously for a bifurcation lesion of the left anterior descending coronary artery by provisional stenting using the jailed wire technique. After successfully stenting the main branch, retraction of the looped main branch guidewire was impossible. After using an intravascular ultrasound we discovered the guidewire was entangled with a stent strut. Thereafter,...