Central venous catheter is a cornerstone of perioperative care and also a reliable way for hemodialysis. Due to its invasive nature complication rate can be as high as 5 to 29% and several factors have been associated with mechanical complications. Herein, we present a 58-year-old male with acute renal failure who underwent internal jugular vein catheter placement for hemodialysis, however, in this knot formation of the guide wire in the subcutaneous tissue before entering the vein lumen occurred. The knot formation was found between platysma fibers and the wire retraction was possible at this point.
After a slight compression of the vein, bleeding control was performed and the day after the patient was discharged uneventfully. Although venous catheterization is a simple procedure, it requires maximal care, experience and suitable conditions.
Key Words: Central Venous Catheterization, Peripheral Catheterization, Mechanical Complication
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