Unrecognized migration of an entire guide wire during hemodialysis catheter placement

Sadek, B. Hadj; Hanin, H.; Batta, F.Z.; Arrayhani, M.; Hussaini, Tarik Sqalli

doi:10.4103/1319-2442.100952

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Cited by 5 publications

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“…Uncomplicated removal was achieved in that case after 6 months, which is, to our knowledge, the longest reported interval for guidewire extraction. [7]…”

Section: Discussionmentioning

confidence: 99%

Diagnosis of a missed central line guidewire using critical care ultrasound

Bshabshe¹

2016

Indian Journal of Critical Care Medicine

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“…Uncomplicated removal was achieved in that case after 6 months, which is, to our knowledge, the longest reported interval for guidewire extraction. [7]…”

Section: Discussionmentioning

confidence: 99%

Diagnosis of a missed central line guidewire using critical care ultrasound

Bshabshe¹

2016

Indian Journal of Critical Care Medicine

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“…Accidental migration of the guidewire is one of the rare and avoidable complications. 1 There is limited evidence of forgotten 2 and accidental migration [3][4][5] of a guidewire.…”

Section: Introductionmentioning

confidence: 99%

Accidental Migration of a Guide Wire During Haemodialysis Catheter Insertion Through Right Internal Jugular Vein

et al. 2023

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Introduction: Intensivist and Nephrologist generally place the dialysis catheter to obtain vascular access for immediate and short-term haemodialysis. We hereby present a case of a 54 years male with a past history of diabetes mellitus, hypertension, and chronic kidney disease stage four who was planned for immediate haemodialysis for severe hyperkalaemia and metabolic acidosis. A haemodialysis catheter was inserted under ultrasound guidance through the right internal jugular vein, but during the procedure, the guidewire was pushed into vein. The chest X-ray showed the looping of the tip of a guidewire. It was successfully surgically extracted, haemodialysis was done through the right femoral vein successfully, and the patient was discharged. From this, we want to emphasize that accidental migration is a fatal, avoidable, preventable complication. Simple measures like holding the guidewire until removal from vessels, vigilant supervision of the trainees, avoidance of vigorous force during insertion of guidewire may prevent this complication.

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“…Similar complications have been reported in literature. [34] Serious consequences include perforation of vascular and cardiac structures. Difficult management issues arise as it often involves transport of clinically unstable patients outside intensive care unit environment for removal of the guidewire.…”

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confidence: 99%