A Lesson Learned from a Rare Case of Missing Guide Wire

How, Ng Kwang; Ruhani, Anwar Irawan

doi:10.4236/oalib.1108334

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2023

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“…Embolism from fragments of catheter or guide wire can be fatal up to 20%. 3 Patients usually present with respiratory symptoms, dysrhythmias, myocardial or vessel wall perforation, tamponade, sepsis, superior vena cava syndrome, or symptoms related to the various thromboembolisms and may rarely be complicated by endocarditis. 4 Late complications manifest diversely and suggest a wide range of differential diagnoses including sepsis syndromes, parasitic infections with febrile paroxysms.…”

Section: Case Reportmentioning

confidence: 99%

A case report on retrieval of retained guidewire- a rare complication after central venous catheterization

Rajyaguru,

Chaudhary,

Baraiya

et al. 2023

Int J Res Med Sci

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Central venous catheterization (CVC) is a routine technique which is widely used in fluid resuscitation, parenteral nutrition, haemodialysis and continuous invasive hemodynamic monitoring. CVC via the Seldinger technique is a minimally invasive procedure which is increasingly and widely performed. Popularity of the Seldinger technique of vascular cannulation has resulted in widespread use of spring guide wires. Though employed to make vascular cannulation easier and safer, guide wires are not without potential hazard. While the complication rate of inserting CVC catheters is approximately 11.8%, the intravascular loss of the guide wire during CVC placement is a rare but serious complication which is completely avoidable by appropriate care.

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Section: Case Reportmentioning

confidence: 99%