Late intracardiac orthopedic wire migration presenting as tamponade and stroke:

Hedon, Christophe; Khoueiry, Ziad; Vergés, Montserrat Palau; Pasquié, Jean‐Luc

doi:10.1093/eurheartj/ehu416

Cited by 4 publications

(4 citation statements)

References 2 publications

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“…K-wires have been shown to travel across tissue planes to unintended locations through direct mechanical force (as in our case report) but have also spontaneously migrated to intracardiac and intrathoracic locations through the circulatory system [5]. These events can occur even years after surgical intervention, presenting as culprits for new onset arrhythmias and hemoptysis [6], [7]. Direct intrapelvic pin migration has been previously documented in a 2-year old pediatric patient undergoing Salter innominate osteotomy, as well as in geriatric patients undergoing operative fixation of a pertrochanteric hip fractures [8], [9].…”

Section: Discussionmentioning

confidence: 55%

Intra-abdominal migration of a k-wire during revision total hip arthroplasty

Hug

Fernando

2017

Arthroplasty Today

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Section: Discussionmentioning

confidence: 55%

Intra-abdominal migration of a k-wire during revision total hip arthroplasty

Hug

Fernando

2017

Arthroplasty Today

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“…In orthopedics, it has been described in many circumstances. The most frequent situations are shoulder or sternoclavicular surgeries in which many Kirschner's wires cardiac migrations have been reported [2,3,[5][6][7][8][9][10]. Some migrations from other anatomical sites have been reported after orthopedic surgery: hip, patella, hand and wrist [11][12][13][14][15][16][17][18].…”

Section: Discussionmentioning

confidence: 99%

“…However, if symptoms were observed or if the foreign body was directly threatening the cardiovascular integrity, a surgical removal was performed. Surgical removals consisted of a thoracotomy or sternotomy, with or without cardiopulmonary bypass [2,3,10,[12][13][14]17]. Thus, we think that a frequent follow-up should be done if the foreign body is small, not mobile, not threatening cardiovascular structures and asymptomatic.…”

Section: Discussionmentioning

confidence: 99%

Guidelines for the Discovery of an Intracardiac Foreign Body Through a Case of Metal Tip Migration to the Right Ventricle after Tibia Osteosynthesis

Legras¹,

Berhouet²,

Bisson³

et al. 2020

IJSCR

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Case: We report a case of a metallic foreign body migration from the lower limb to the right ventricle. A metal tip of 5x3mm was discovered during a cardiac investigation for a ventricular extrasystole. A few months earlier, the patient had a tibia osteosynthesis for fracture. Conclusion: We propose guidelines in case of a cardiac foreign body detection. A conservative treatment or surgical removal can be discussed depending on the clinical features, the anatomical situation and the shape of the foreign body.

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“…[13]. В литературе также встречаются данные о перфорации мочевого пузыря и мочеточника [14], брюшного отдела аорты и подвздошных артерий [15], нисходящей полой вены [16,17], повреждении сердца [18], легких [19] и спинного мозга [20].…”

Section: Introductionunclassified

Migration of a Kirschner Wire Into the Urinary Bladder: A Case Report

Farion¹,

Paskov²,

Dushin³

et al. 2023

Traumatology and Orthopedics of Russia

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Information actuality: The migration of Kirschner wires is the well-known complication described in sources of literature. Notwithstanding the fact that preventative measures against the migration of Kirschner wires are taken by orthopedic traumatologists in most cases, it does not the avoidance of the occurrence of this complication. Description of a clinical case: We presented the case of treatment of a female 70-year old patient with the asymptomatic migration of a Kirschner wire into the urinary bladder. It happened 5 years after the primary surgical intervention because of the left femoral neck fracture. The removal of a Kirschner wire from the urinary bladder with the further performance of the total endoprosthetic hip replacement was performed in the female patient. The surgical intervention proceeded without any complications. The female patient began to be involved in rehabilitation measures immediately after a surgery. Conclusion: The presented clinical case teaches us to be careful upon the performance of the osteosynthesis with the use of Kirschner wires and give much attention to measures aimed to the prevention of their fractures and their migration. Key words: migration of a wire, migration of a wire into the urinary bladder, migration of a Kirschner wire, urinary bladder injury, endoprosthetic replacement.

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Late intracardiac orthopedic wire migration presenting as tamponade and stroke:

Cited by 4 publications

References 2 publications

Intra-abdominal migration of a k-wire during revision total hip arthroplasty

Intra-abdominal migration of a k-wire during revision total hip arthroplasty

Guidelines for the Discovery of an Intracardiac Foreign Body Through a Case of Metal Tip Migration to the Right Ventricle after Tibia Osteosynthesis

Migration of a Kirschner Wire Into the Urinary Bladder: A Case Report

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