Abdominal pain due to a lost guidewire: a case report

Taslimi, Reza; Safari, Sepideh; Kazemeini, Alireza; Aminian, Ali; Ehsan, Joneidi; Larti, Farnoosh

doi:10.4076/1757-1626-2-6680

Cited by 13 publications

(22 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Some of the most common complications of the CVC are transient arrhythmias, vascular injuries (puncture of the carotid or subclavian artery, perforation of the aorta or SVC, pseudoaneurysms, AV fistulas and vertebral artery),9 pneumothorax, haemothorax or haemomediastinum,10 neurological complications including brachial plexus injury and Horner syndrome11 12 and occasionally retained guidewire or catheter fragments 10 13…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

A delayed diagnosis of a retained guidewire during central venous catheterisation: a case report and review of the literature

Gündüz¹,

Vatan²,

Ösken³

et al. 2012

BMJ Case Reports

View full text Add to dashboard Cite

SummaryCentral venous catheterisation allows delivery of medications, intravenous fluids, parenteral nutrition, haemodialysis and monitoring of haemodynamic variables. Various complications may occur during and after the procedure. However, the complete guidewire retention has rarely been reported. In this report, we have presented a complete guidewire retention as a result of inadvertent catheter insertion. After 17 months of the first operation performed upon the diagnosis of Fournier's gangrene, the patient was admitted to the cardiology polyclinic with a recurrent chest pain. Echocardiography showed a wire-shaped foreign body within the right part of the heart, and a fluoroscopic examination showed a guidewire reaching from the superior vena cava to the right external iliac vein. In retrospect, the wire was already visible on the postoperative chest x-rays and CT taken while the patient was still in intensive care unit, but its presence was overlooked at that time. The guidewire was retrieved completely during a surgery. BACKGROUND

show abstract

Section: Discussionmentioning

confidence: 99%

“…There are various angiographic techniques for percutaneous removal of intravascular foreign bodies; one of the most common is angiographic snaring 15. Other devices like Dormia baskets, balloon catheters and grasping devices are also used 13. In addition, surgical retrieval procedures have been reported so far 16.…”

Section: Discussionmentioning

confidence: 99%

A delayed diagnosis of a retained guidewire during central venous catheterisation: a case report and review of the literature

Gündüz¹,

Vatan²,

Ösken³

et al. 2012

BMJ Case Reports

View full text Add to dashboard Cite

show abstract

“…Bu hastalarda SVK işlemi sonrası kı-lavuz telin vasküler alanda unutulmasının sebeplerinin dikkatsizlik, tecrübesizlik, acelecilik, yorgunluk, birden fazla başarısız girişim ve deneyimli klinisyenler tarafından yetersiz göze-tim olabileceğine dikkat çekilmiştir. 5,8,12,14 İşlemi yapan klinisyenin deneyimli olması, SVK uygulamalarında komplikasyon oranını yarı yarıya azaltmakta; üç veya daha fazla başarısız girişim ise komplikasyon oranını altı kat artırmaktadır. 15 Olgumuzda SVK işleminden bir gün sonra çeki-len PA akciğer grafisinde kılavuz telin intravasküler alanda olduğu saptandıktan sonra femoral insizyon ile komplikasyonsuz olarak çıkarılmış-tır.…”

Section: Resi̇munclassified

A Rare Complication Due to Central Venous Cannulation: A Forgotten Guidewire: Case Report

Demirel¹,

Beştaş²,

Altun³

et al. 2017

Turkiye Klinikleri J Anest Reanim

View full text Add to dashboard Cite

antral venöz kateterizasyon (SVK), yoğun bakım ünitelerinde, acil servislerde, operasyon öncesi veya operasyon sırasında hemodinamik monitörizasyonda, büyük sıvı veya kan kayıpları beklenen operasyonlarda replasman amaçlı, uzun süreli vazoaktif veya periferik venleri irrite eden ilaç uygulamalarında, hemodiyaliz için diyaliz kateteri yerleştirilmesinde ve venöz yol gerekliliğinde uygulanan invaziv bir işlemdir.1 Perkütan santral ven kateterizasyonu rutin bir tekniktir. Kökensel olarak tel kılavuzun ve kateterin radyolojik olarak görüntülenmesine olanak sağlayan Seldinger tekniği; santral venöz kanülasyon için sıklıkla kullanılmaktadır.

show abstract

“…• General lack of awareness of the potential complications in central lines amongst the health professionals [1,12].…”

Section: Human Factors Issues Previously Attributed To Guidewire Lossmentioning

confidence: 99%

“…Central Venous Catheterization (CVC) is a common procedure in many hospital settings such as operating theatres, intensive care units and emergency departments [1]. It usually incorporates the 'Seldinger' technique, first introduced in the early 1950s [2].…”

Section: Introductionmentioning

confidence: 99%

Guidewire retention following central venous catheterisation: A human factors and safe design investigation

Horberry

Teng

Ward

et al. 2014

International Journal of Risk &Amp; Safety in Medicine

View full text Add to dashboard Cite

BACKGROUND: Central Venous Catheterisation (CVC) has occasionally been associated with cases of retained guidewires in patients after surgery. In theory, this is a completely avoidable complication; however, as with any human procedure, operator error leading to guidewires being occasionally retained cannot be fully eliminated. OBJECTIVE: The work described here investigated the issue in an attempt to better understand it both from an operator and a systems perspective, and to ultimately recommend appropriate safe design solutions that reduce guidewire retention errors. METHODS: Nine distinct methods were used: observations of the procedure, a literature review, interviewing CVC end-users, task analysis construction, CVC procedural audits, two human reliability assessments, usability heuristics and a comprehensive solution survey with CVC end-users. RESULTS: The three solutions that operators rated most highly, in terms of both practicality and effectiveness, were: making trainees better aware of the potential guidewire complications and strongly emphasising guidewire removal in CVC training, actively checking that the guidewire is present in the waste tray for disposal, and standardising purchase of central line sets so that differences that may affect chances of guidewire loss is minimised. CONCLUSIONS: Further work to eliminate/engineer out the possibility of guidewires being retained is proposed.

show abstract

Abdominal pain due to a lost guidewire: a case report

Cited by 13 publications

References 4 publications

A delayed diagnosis of a retained guidewire during central venous catheterisation: a case report and review of the literature

A delayed diagnosis of a retained guidewire during central venous catheterisation: a case report and review of the literature

A Rare Complication Due to Central Venous Cannulation: A Forgotten Guidewire: Case Report

Guidewire retention following central venous catheterisation: A human factors and safe design investigation

Contact Info

Product

Resources

About