Guide wire loss during central venous cannulation

The Forgotten Guide Wire: A Rare Complication of Hemodialysis Catheter Insertion

“…[ 2 ] However, a complete guide wire migration into the circulation may not induce symptoms and its loss into the circulation may remain unnoticed for a significant period of time. [ 3 ] We present such a case in a 19-year-old female with systemic lupus erythromatosis (SLE), who underwent insertion of a hemodialysis catheter (Quinton, Covidien, Mansfield, MA, USA) for plasmapheresis. The authors analyze the reasons for forgetting the guide wire while inserting a central line catheter and suggest a method to prevent its recurrence.…”

Accidental guide-wire loss during central venous catheterization: A report of two life-threatening cases

“…[2] reported that inattentive, exhausted, inexperienced operator and inadequate supervision might be responsible for guide wire loss. Sudden patient movement[4] and excessive length of guide-wire insertion are additional factors. [5] Predisposing factors in our first case could be an emergent situation leading to haste during the procedure while inadequate supervision, inexperience and distraction were the possible causes in the second case.…”