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A 65-year-old man with a history of hypertension, diabetes mellitus, coronary artery disease with angioplasty and bypass grafting, and deep-vein thrombosis (with placement of an inferior vena cava filter several months earlier) was admitted with heart failure. A right internal jugular catheter was placed for management of congestive heart failure. During placement of the catheter, the guidewire was advanced approximately 50 cm; subsequently, there was difficulty in removing the guidewire, requiring some force to pull it out. A radiograph obtained earlier, confirming the proper placement of a feeding tube, showed that the filter was in the proper position (Panel A). . . . [Full Text of this Article] |
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