Unrecognised guide wire migration during internal jugular cannulation and its retrieval--a case report.
Niger Postgrad Med J
; 20(1): 63-5, 2013 Mar.
Article
en En
| MEDLINE
| ID: mdl-23661213
ABSTRACT
AIMS AND OBJECTIVES:
The objective of this article is to report a case of unrecognised missed guide wire diagnosed two months after right internal jugular cannulation and which was successfully retrieved from the right femoral vein. PATIENT ANDMETHODS:
The case record of a patient that had retained intravenous guide wire was reviewed with relevant literature.RESULT:
A 40-yr-old female had an emergency left thoracotomy on account of haemorrhagic pleural effusion. A right internal jugular central venous catheter (CVC) insertion was performed for resuscitation and haemodynamic monitoring before induction of anaesthesia. A follow-up thoraco-abdominal Computed tomography (CT) scan taken after 8 weeks showed a pigtail intravascular metallic foreign body traversing the distal superior vena cava, right atrium, inferior vena cava, and ending at the right femoral vein. The guide wire was successfully removed via a right femoral venotomy under local anaesthesia.CONCLUSION:
Intravascular loss of a guide wire is a rare complication of CVC insertion. If basic precautionary measures were taken, the loss of guide wire would have been avoided.
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Banco de datos:
MEDLINE
Asunto principal:
Cateterismo Venoso Central
/
Migración de Cuerpo Extraño
/
Errores Médicos
Tipo de estudio:
Etiology_studies
Límite:
Adult
/
Female
/
Humans
Idioma:
En
Año:
2013
Tipo del documento:
Article