Loss of guidewire and its sequelae after central venous catheterization: A case report.
Medicine (Baltimore)
; 98(29): e16513, 2019 Jul.
Article
en En
| MEDLINE
| ID: mdl-31335728
ABSTRACT
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.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Aorta Torácica
/
Cateterismo Venoso Central
/
Migración de Cuerpo Extraño
/
Cerebro
Tipo de estudio:
Etiology_studies
/
Guideline
Límite:
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Medicine (Baltimore)
Año:
2019
Tipo del documento:
Article
País de afiliación:
China