Pulmonary Infarction From a Fractured and Embolized Central Venous Catheter

Mançano, Alexandre Dias; Machado, Mariana Ribeiro; Zanetti, Gláucia; Marchiori, Edson

doi:10.1016/j.athoracsur.2014.02.064

Cited by 1 publication

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“…The complications of CVC generally include mechanical and immediate (arterial puncture, pneumothorax, cardiac tamponade, bleeding, catheter malposition, or nerve lesions), delayed (catheter migration, embolization), septic, and thrombotic complications. 2 , 3 , 7 Mechanical complications are mainly operator dependent. 8 Misplaced or retained guidewire during CVC placement is a rare complication and usually related with intra- or postoperative procedures in the operating room.…”

Section: Discussionmentioning

confidence: 99%

Complete guidewire retention after femoral vein catheterization

Çat

Güler

Soyuduru

et al. 2015

Annals of Saudi Medicine

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Central venous catheters (CVCs) are often used for various purposes in the emergency departments (ED). The main uses of CVCs in the EDs are emergent hemodialysis, in situations where peripheral vein catheterization cannot be achieved, and continuous invasive hemodynamic monitoring. The complications related to CVC insertion are usually mechanical and observed in the near term after the procedure. Retained CVC guidewire after catheterization is a rare complication in the published reports and usually related with intra- or postoperative settings and jugular or subclavian vein. The present study reported a young female patient who underwent left femoral vein catheterization 6 months earlier in an intensive care unit of another hospital and was diagnosed with complete guidewire retention in the ED. To the best of the authors’ knowledge, this is the first case in published reports with a diagnosis of retained CVC guidewire with retrograde migration into the femoral vein. Surprisingly, the patient developed no thrombotic or embolic complication during this 6-month period.

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