A potentially hazardous complication during central venous catheterization: lost guidewire retained in the patient

Song, Yuyan; Messerlian, Aram K.; Matevosian, Rima

doi:10.1016/j.jclinane.2011.07.003

Cited by 28 publications

(26 citation statements)

References 18 publications

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“…Lost or retained guidewires during CVC placement are exceedingly rare. 1 However, a retained guidewire may remain undiagnosed for months to years at a time, 4 and the morbidity and mortality appear to coincide with delayed removal of these foreign objects. 5 Accordingly, removal of retained guidewires immediately after recognition is critical to mitigating complications.…”

Section: Discussionmentioning

confidence: 99%

“…Although the CVC had been successfully used to administer fluids and medications, this does not exclude the possibility of a retained guidewire. [1][2][3][4] Subsequently, radiographic evidence remains the primary modality of diagnosis. A repeat chest radiograph, or lateral view, would have been prudent to exclude a retained guidewire in our case.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Positioning Artifact Causing Retained Foreign Object Appearance in a Radiograph of a Venous Catheter

Abcejo

Smith²,

Hebl³

2015

A & A Case Reports

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In preparation for an abdominal tumor debulking procedure, a patient had a right internal jugular central venous catheter (CVC) inserted. A radiologist interpreted a postoperative chest radiograph as containing a 7-cm foreign body in the distal lumen of the CVC. After removal, dissection of the CVC revealed a polyurethane plug in the distal lumen. The manufacturer (Arrow®) states that the synthetic plug is part of standard CVC construction that may produce a radiopaque signal with specific patient positioning during radiography. This report is intended to raise awareness of the potential for this radiographic finding and prevent the unnecessary removal of clinically indicated CVCs.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Positioning Artifact Causing Retained Foreign Object Appearance in a Radiograph of a Venous Catheter

Abcejo

Smith²,

Hebl³

2015

A & A Case Reports

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“…With the rapidly expanding scope of endovascular interventions, this complication will continue to be of clinical significance. In the case of CVC, guidewire retention during insertion is estimated at a rate of 0.03-0.1%, catheter retention during removal is estimated at 1.5%, and the overall incidence of retained foreign body due to CVC is reported between 0.3 and 1.5% [63][64][65]. Reports of CVC retention and recovery are presented in case reports, case series and retrospective reviews.…”

Section: Foreign Body Retrievalmentioning

confidence: 99%

Bedside Procedure: Retained Central Venous Catheter

Cheung¹,

Mellert²,

Firstenberg³

2018

Vignettes in Patient Safety - Volume 2

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The placement of central venous catheters (CVC) is a common medical procedure and adjunct to current medical therapy. With millions of CVC placed yearly in the United States, complications occur. It is important to be aware of the potential immediate and long term complications associated with this procedure. In this chapter, a representative case of retained CVC guidewire is presented. Provider experience, appropriate patient selection and insertion technique can minimize the risk of immediate complication in most cases. A brief discussion of CVC complications with emphasis on guidewire malfunction is presented along with management and retrieval options.

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“…30 Complications of embolized guidewires include pseudoaneurysm formation, vascular or myocardial perforation, cardiac arrhythmias, infection, and thrombosis. [31][32][33][34][35] Two imaging findings are particularly helpful in differentiating an embolized guidewire from a ventriculoperitoneal (VP) shunt. Guidewires overlie vascular structures and appear as a single linear metallic density.…”

Section: Lines and Tubesmentioning

confidence: 99%