Kirschner Wire Embolization to the Heart

Goodsett, James R.; Pahl, Andrew C.; Glaspy, Jeffrey N.; Schapira, Marilyn M.

doi:10.1378/chest.115.1.291

Cited by 39 publications

(6 citation statements)

References 3 publications

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“…Occasionally foreign body migration has been noted to result in substantial morbidity [10,11] and even death [12]. Fortunately, the foreign body in this case was removed without further complication.…”

Section: Discussionmentioning

confidence: 85%

Pulsatile lavage irrigator tip, a rare radiolucent retained foreign body in the pelvis: a case report

Connelly

Archdeacon

2011

Patient Saf Surg

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Retained foreign bodies after surgery have the potential to cause serious medical complications for patients and bring fourth serious medico-legal consequences for surgeons and hospitals. Standard operating room protocols have been adopted to reduce the occurrence of the most common retained foreign bodies. Despite these precautions, radiolucent objects and uncounted components/pieces of instruments are at risk to be retained in the surgical wound. We report the unusual case of a retained plastic pulsatile lavage irrigator tip in the surgical wound during acetabulum fracture fixation, which was subsequently identified on routine postoperative computed tomography. Revision surgery was required in order to remove the retained object, and the patient had no further complications.

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Section: Discussionmentioning

confidence: 85%

Pulsatile lavage irrigator tip, a rare radiolucent retained foreign body in the pelvis: a case report

Connelly

Archdeacon

2011

Patient Saf Surg

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“… 10 , 16 , 17 However, a few cases originated from the finger, 18 pelvis, 19 , 20 hip, 21 and rib. 48 The final resting position of the orthopedic wire involved vascular structures (ascending aorta, 8 , 22 – 24 pulmonary artery, 25 , 26 and the heart 9 , 17 , 27 – 31 ), lung, 32 mediastinum, 33 esophagus, 6 spinal column, 5 , 10 , 12 spleen, 34 and the posthepatic retroperitoneal space. 35 With respect to the distance of migration, long-distance migration of K-wires have been reported from the hip to the knee, 3 the finger to the heart, 18 the pelvis to the abdomen, 19 the pelvis to the heart, 20 and the hip to the liver.…”

Section: Discussionmentioning

confidence: 99%

“… 36 Detection of migration within hours of implant has also been reported, 12 , 37 whereas there have been reports where migrated wire was detected several years after placement. 8 , 27 , 28…”

Section: Discussionmentioning

confidence: 99%

Death Due to Intra-aortic Migration of Kirschner Wire From the Clavicle

Tan¹,

Sun

Yu³

et al. 2016

Medicine

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Migration of orthopedic fixation wires into the ascending aorta though a rare occurrence can have devastating consequences. Therefore, prompt recognition, with immediate and cautious retrieval of the implant is paramount in averting these complications.We present a case of a 5-year-old boy with the intra-aortic migration of a K-wire used for the treatment of a right clavicle fracture. He was transferred to us with a history of syncope, chest pain, and shortness of breath 7 days after K-wire placement, which was performed at another hospital. On CT scan, the wire was found to be partially inside the ascending aorta, which was associated with massive hemopericardium and cardiac tamponade. The patient was taken up for emergency surgery for the removal K-wire and for the management of cardiac temponade. However, the patient developed cardiac arrest during the induction of intravenous anesthesia and endotracheal intubation. The K-wire was retrieved from the thorax via thoracotomy. However, the patient died 10 days after the surgery.As the migration of wires and pins during orthopedic surgery can cause potentially fatal complications, these should be used very cautiously, especially for percutaneous treatment of shoulder girdle fractures. The patients with such implants should be followed frequently, both clinically and radiographically. If migration occurs, the patient should be closely monitored for emergent complications and the K-wire should be extracted immediately.

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“…Antegrade migration of K-wire, though rare, has been reported in the literature. Several case reports have been reported on the migration of K-wire from shoulder joint to various intrathoracic organs such as aorta [ 3 ], heart [ 4 , 5 ], lungs [ 6 , 7 ], trachea [ 8 , 9 ], mediastinum [ 10 ], neck [ 11 ], spleen [ 12 ], and spinal canal [ 13 , 14 ]. In two of the cases migration of K-wires led to death of the patient [ 4 , 6 ].…”

Section: Discussionmentioning

confidence: 99%

External Iliac Artery-Appendicular Fistula due to Antegrade Unusual Migration of K-Wire from Hip to Pelvis: An Unreported Complication

Singh

Pandey

Pant

et al. 2015

Case Reports in Orthopedics

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Background. K-wires are thought to be extremely safe implants and complications as a result of direct insertion or migration are very rare. Complications may be life-threatening in some instances where migration results in injury to vital organs. We report one such case where antegrade migration of K-wire from the hip resulted in injury to external iliac artery and formation of external iliac artery-appendicular fistula. No such complication due to migration has ever been reported in the literature. Case Description. A 15-year-old boy presented with lower abdominal pain, right lower limb swelling and pain, inability to walk, and rectal bleeding for 1 month after 2 K-wires had been inserted in his right hip joint for treatment of slipped capital femoral epiphysis the previous year. On investigation, he was diagnosed to have external iliac artery-appendicular fistula for which he was surgically treated. Clinical Relevance. Antegrade migration of K-wire from hip joint may lead to life-threatening injuries which can be minimized by bending the end of the K-wire, keeping the tip protruding outside the skin wherever possible and by early removal of K-wire once its purpose has been achieved.

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Kirschner Wire Embolization to the Heart

Cited by 39 publications

References 3 publications

Pulsatile lavage irrigator tip, a rare radiolucent retained foreign body in the pelvis: a case report

Pulsatile lavage irrigator tip, a rare radiolucent retained foreign body in the pelvis: a case report

Death Due to Intra-aortic Migration of Kirschner Wire From the Clavicle

External Iliac Artery-Appendicular Fistula due to Antegrade Unusual Migration of K-Wire from Hip to Pelvis: An Unreported Complication

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