“…Extraction by surgical exploration has also been reported if percutaneous methods fail. [ 5 ] To prevent intravascular loss of guide-wire, following precautions must be considered- a) hold the proximal tip of the guide-wire at all times b) avoid excessive insertion of the guide-wire (maximum 18 cm from puncture sites) c) using the Seldinger technique, the wire must be visible at the proximal end before railroading the catheter d) after catheter insertion, the immediate step should be removal of the guide-wire e) after catheterization, always inspect the procedural tray for complete wire removal and get the chest X ray.…”