Neglected Retained Central Venous Catheter Guidewire Complicated With Guidewire Rupture During Retrieval Process And Its Bailout Technique

Authors

  • Mohd Ab Hakim Ibrahim Department of Radiology, School of Medical Sciences, Universiti Sains Malaysia, 16150, Kubang Kerian, Kelantan, Malaysia
  • Mohd Hafizuddin Husin Department of Radiology, School Of Medical Science, Universiti Sains Malaysia, 16150, Kubang Kerian, Kelantan, Malaysia https://orcid.org/0000-0002-3131-1472
  • Nasibah Mohamad Department of Radiology, School of Medical Sciences, Universiti Sains Malaysia, 16150, Kubang Kerian, Kelantan, Malaysia
  • Bazli Md Yusoff Department of Radiology, School of Medical Sciences, Universiti Sains Malaysia, 16150, Kubang Kerian, Kelantan, Malaysia
  • Chandran Nadarajan Department of Radiology, School of Medical Sciences, Universiti Sains Malaysia, 16150, Kubang Kerian, Kelantan, Malaysia
  • Mohd Shafie Abdullah Department of Radiology, School of Medical Sciences, Universiti Sains Malaysia, 16150, Kubang Kerian, Kelantan, Malaysia

DOI:

https://doi.org/10.32896/tij.v2n2.10-15

Keywords:

Guidewire retention, Intravascular, Intracardiac, Foreign body, Fracture guidewire, Retrieval technique, Bailout procedure

Abstract

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

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Published

2022-09-08

How to Cite

Mohd Ab Hakim Ibrahim, Mohd Hafizuddin Husin, Nasibah Mohamad, Bazli Md Yusoff, Nadarajan, C., & Abdullah, M. S. (2022). Neglected Retained Central Venous Catheter Guidewire Complicated With Guidewire Rupture During Retrieval Process And Its Bailout Technique . The Interventionalist Journal, 2(2), 10–15. https://doi.org/10.32896/tij.v2n2.10-15