Loss of guide wire: A lesson learnt review of literature

Srivastav, Rajiv; Yadav, Vishal; Sharma, Dimpy; Yadav, Vikas

doi:10.4103/2006-8808.128732

Cited by 23 publications

(24 citation statements)

References 16 publications

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“…Complications related to an indwelling CVC include central line-associated bloodstream infection and thrombus formation [ 5 ]. While less commonly reported, vascular guidewire and dilator-related complications such as wire fracture [ 6 ], wire loss [ 7 ], wire knotting [ 8 ], and major vascular injury often require immediate intervention and carry a significant risk of morbidity and mortality [ 9 ]. In our experience, poorly placed skin incisions often lead directly to wire kinking ( Fig.…”

Section: Discussionmentioning

confidence: 99%

Novel Wire-Guided Scalpel to Facilitate Central Venous Catheter Insertion without a Skin Bridge

Rauchwerger

Serle

Astbury

2021

Vasc Specialist Int

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Central venous catheter (CVC) placement is a commonly performed procedure. More than 5 million CVC placements are performed annually in the United States, with nearly 45% of critical care patients and 8% of all inpatients requiring a CVC during their hospitalization. A novel wire-guided scalpel (GuideBlade; Ambitus Medical Supplies LLC, Oceanside, NY, USA) has recently been introduced into clinical practice. In this communication, we will describe how to use the device and discuss possible advantages associated with its routine use during CVC placement.

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Section: Discussionmentioning

confidence: 99%

Novel Wire-Guided Scalpel to Facilitate Central Venous Catheter Insertion without a Skin Bridge

Rauchwerger

Serle

Astbury

2021

Vasc Specialist Int

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“…The guide wire should be held at the tip at all times to prevent passage into the vessel. [6,7] Safety measurements with a standard protocol including time out and sign out checklists as mentioned by the World Health Organization, and directly supervised bedside teaching are mandatory measures in order to prevent the occurrence of such complications. [8] Bedside teaching is defined as a minimum of 2 clinicians (resident and supervisor) who can remind each other about removal of the guide wire communicate about the different steps during the central venous catheterization, and check the CT scans.…”

Section: Discussionmentioning

confidence: 99%

Loss of guidewire and its sequelae after central venous catheterization

Zhao

Wang²,

Zhao³

2019

Medicine

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Rationale: Central venous catheterization is a common tool used to monitor central venous pressure and administer fluid medications in patients undergoing surgery. The loss of a broken guide wire into the circulation is a rare and preventable complication. Here, we report a peculiar case of a missed guidewire puncturing the aortic arch and cerebrum. Patient concerns: A 53-year-old man with complaints of an intermittent headache and right swollen ankle following central venous catheterization. Diagnoses: Using computed tomography; the patient was diagnosed with the loss of a guide wire in his body. The guide wire had migrated to the brain and punctured the vascular wall of the aortic arch. Interventions: Due to the risks of surgery, the patient was advised to have a follow-up visit once every 3 months. Outcomes: At present, the patient could live like a normal person, although he suffers from intermittent headaches. Lessons: The loss of a guide wire is a completely preventable complication, provided that a hold on the tip of the wire is maintained during placement, and the correct safety measurements and protocols are followed.

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“…Nowadays, the most frequently used retrieval technique involves the use of a snare. These can be difficult to master and require high quality fluoroscopy [5] . In this case, the guide wire was retrieved through right femoral vein access by using a Gooseneck snare under fluoroscopy guidance.…”

Section: Discussionmentioning

confidence: 99%

Retrieval of a migrated central venous guide wire: a case report

Bandara¹,

Herath²,

Udupihilla

et al. 2018

SL J. Med.

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A 66-year-old patient was admitted to a peripheral hospital with necrotising fasciitis and septic shock, with a background history of severe co-morbid diseases. The septic shock was managed at an intensive care unit with IV vasopressors and IV antibiotics via right internal jugular central venous catheter (CVC). Insertion of CVC was complicated by migration of guide wire in to the inferior vena cava (IVC). This case illustrates the migration of a guide wire as a complication of CVC insertion, and the subsequent retrieval of this guide wire.

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Loss of guide wire: A lesson learnt review of literature

Cited by 23 publications

References 16 publications

Novel Wire-Guided Scalpel to Facilitate Central Venous Catheter Insertion without a Skin Bridge

Novel Wire-Guided Scalpel to Facilitate Central Venous Catheter Insertion without a Skin Bridge

Loss of guidewire and its sequelae after central venous catheterization

Retrieval of a migrated central venous guide wire: a case report

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