Neglected Retained Central Venous Catheter Guidewire Complicated With Guidewire Rupture During Retrieval Process And Its Bailout Technique
DOI:
https://doi.org/10.32896/tij.v2n2.10-15Keywords:
Guidewire retention, Intravascular, Intracardiac, Foreign body, Fracture guidewire, Retrieval technique, Bailout procedureAbstract
Central venous catheter insertion is a commonly performed procedure. This catheter is used to administer drugs and fluid, especially in critically ill patients, and monitor central venous pressure. We present a case of a retained guidewire for 17 months which was found incidentally from the abdominal and chest radiograph. We retrieved the retained J-tip guidewire using four loops retrieval snare. The retrieval process was complicated with the rupture of the guidewire, causing the unwinding of its outer sphere, leaving the inner monofilament dangling in the heart chamber. In this case report, we would like to describe the initial retrieval technique, which was failed and its bailout procedure.
References
Srivastav R, Yadav V, Sharma D, Yadav V. Loss of guide wire: a lesson learnt review of literature. J Surg Tech Case Rep. 2013;5(2):78-81.
Khasawneh FA, Smalligan RD. Guidewire-Related Complications during Central Venous Catheter Placement: A Case Report and Review of the Literature. Case Reports in Critical Care. 2011;2011:1–4.
Can Sevil F. Successful percutaneous removal of retained J-tip guidewire: A report of two cases. Turkish Journal of Vascular Surgery. 2020;29(1):66–9.
Gunduz Y, Vatan MB, Osken A, Cakar MA. A delayed diagnosis of a retained guidewire during central venous catheterisation: A case report and review of the literature. BMJ Case Reports. 2012;4–7.
Rani A, Malik PK, Report C. An Avoidable Iatrogenic Complication. Indian Journal of Critical Care Medicine. 2019;23(8):382–3.
Park SK, Yi IK, Lee JH, Kim DH, Lee SY. Fracture of the j-tipped guidewire during central venous catheterisation and its successful removal under fluoroscopic guidance: A case report. Korean Journal of Anesthesiology. 2012;63(5):457–60.
Arnous N, Adhya S, Marof B. A Case of Retained Catheter Guidewire Discovered Two Years After Central Venous Catheterization. Am J Case Rep. 2019;20:1427-1433
Woodhouse JB, Uberoi R. Techniques for intravascular foreign body retrieval. Cardiovasc Intervent Radiol. 2013;36(4):888-897.
Patil S, Ramalingam R, Kharge J, Nayak M, Manjunath CN. Successful Retrieval of Uncoiled Coronary Guidewire Using Simple Balloon Method. J Clin Diagn Res. 2015;9(10):OD01-OD3
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.