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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9842080PMC
http://dx.doi.org/10.4103/ija.ija_657_22DOI Listing

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Background: The standard of care for placement of a central venous catheter (CVC) includes a real-time ultrasound (US)-guided technique. We describe a rare case in which the guidewire penetrated the posterior wall of the vessel, forming a knot, which precluded simple removal. This occurred despite the procedure being performed under real-time US guidance.

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