Complete guidewire retention after femoral vein catheterization

Çat, Bahar; Güler, Sertaç Ata; Soyuduru, Murat; Guven, Ibrahim; Ramadan, Hayri

doi:10.5144/0256-4947.2015.479

Cited by 10 publications

(14 citation statements)

References 8 publications

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“…Retained CVC guidewire after catheterisation is a rare complication in published reports and usually related in intra- or postoperative settings with the jugular or subclavian vein (Bakir et al 2015). Several adverse outcomes have been documented, such as shearing of the guidewire causing it to travel through the central circulation, in addition to possible bending and breaking of the introducers.…”

Section: Resultsmentioning

confidence: 99%

“…Patients who need to have the CVC inserted are mostly treated in the Intensive Care Unit (ICU). Because ICU patients are already in serious medical condition, it is very important to place the CVC successfully and without complications (Bakir et al 2015). However, the use of these catheters may be accompanied with complications during insertion, use and removal.…”

mentioning

confidence: 99%

“…There is a case report of a CVC inserted in the femoral vein with its guidewire accidently retained with retrograde migration into the popliteal vein. It was removed six months later with no complication (Bakir et al 2015). Also, a guidewire embolisation in the inferior vena cava was successfully retrieved nine months after its unintentional embolisation (Yong et al 2013).…”

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confidence: 99%

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Unexpected complications during insertion of a central venous catheter

Tirumala

Hyatali

Eskander

et al. 2018

Journal of Perioperative Practice

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Introduction Central venous catheters are essential and widely used in medical practice. Their use may be accompanied with complications during insertion and removal. Complications related to the guidewire are rare, and information about appropriate management is scarce. We report a case of a 34-year-old patient admitted for a left femur fracture. The patient was a difficult access, so decision was made to place a central venous catheter before surgery. During insertion of the central venous catheter, there was difficulty in advancing the guidewire. Attempts were made to remove the guidewire through the introducer, but the guidewire would not thread out of the introducer. The introducer and guidewire were then removed as a unit with ease. The guidewire had lost its shape and uncoiled itself, becoming much more flimsy and fragile. Conclusion While this case had no adverse outcome secondary to the removal of the guidewire and introducer as a unit, careful attention should be noted when attempting to remove the guidewire during central venous catheter placement. If faced with a similar scenario where the guidewire is stuck and does not thread out easily, removing the guidewire and introducer as a unit is a safe method of action.

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Section: Resultsmentioning

confidence: 99%

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confidence: 99%

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confidence: 99%

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Unexpected complications during insertion of a central venous catheter

Tirumala

Hyatali

Eskander

et al. 2018

Journal of Perioperative Practice

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“…In this case, the guidewire was detected when it protruded through the skin to the outside of the body, which an is extremely rare occurrence. A previously described case has been reported with a similar presentation, where the guidewire protruded from the left great toe, six months after left femoral vein central line placement [11].…”

Section: Discussionmentioning

confidence: 99%

A Case of Retained Catheter Guidewire Discovered Two Years After Central Venous Catheterization

Arnous

Adhya²,

Marof

2019

Am J Case Rep

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Patient: Male, 52Final Diagnosis: Retained guidewireSymptoms: Knee painMedication: —Clinical Procedure: —Specialty: General and Internal MedicineObjective:Unusual clinical courseBackground:Retained guidewire is a recognized complication of intravascular interventions. The majority of cases are identified immediately or shortly after the procedure. In rare cases, the guidewire is identified incidentally by X-ray after the procedure. This report presents a rare case of a retained venous guidewire that was discovered two years after central venous catheterization.Case Report:A 52-year-old African-American man presented with a wire that was emerging from the skin near his right knee. He had undergone a right femoral central venous catheter placement two years previously. Imaging showed that the end of the guidewire was sited at the left pulmonary artery, and was associated with two small broken fragments of wire. During surgery to remove the guidewire, it had become adherent to the pulmonary artery wall. Most of the guidewire was removed, but the portion adherent to the pulmonary artery wall was left in place.Conclusions:It is very rare for a retained guidewire to be discovered when it protrudes through the skin, two years after central venous catheter placement, as the majority of cases are discovered by physical inspection or imaging following intravascular interventions. Skill and attention in the clinical setting are required to minimize such complications.

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“…These cases may lead to embolization, infection, cardiac damage, or even death. [ 8 – 11 ] The common types of these FB are needles, [ 5 ] intravenous cannulas, [ 4 ] guidewires, [ 12 ] stents, [ 13 ] inferior vena cava filter struts, [ 14 ] and other objects (see Table 1 ). [ 6 , 7 , 15 , 16 , 17 – 19 ] However, being a rare pathogenic factor, the more unconventional non-iatrogenic FB often requires more extensive treatment and diagnosis.…”

Section: Discussionmentioning

confidence: 99%