A Case Report: Surgical Removal of Missing Guide Wire, Is it the Best Intervention?
Nowadays, the use of central venous catheter insertion (CVC), has abundantly increased. It is a common technique in critically ill patients who are admitted to intensive care and emergency departments in order to hemodynamic monitoring and fluid and medication administration. In this report, we expr...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Shiraz University of Medical Sciences
2022-07-01
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| Series: | Bulletin of Emergency and Trauma |
| Subjects: | |
| Online Access: | https://beat.sums.ac.ir/article_47726_0a78ebead9bf531aa30039d26443e04d.pdf |
| _version_ | 1818537331552944128 |
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| author | Rahimeh Eskandarian Abolfazl Abdollahpour Shahrzad Aghaamoo Narges Amini Hoda Zangian Kamran Ghods |
| author_facet | Rahimeh Eskandarian Abolfazl Abdollahpour Shahrzad Aghaamoo Narges Amini Hoda Zangian Kamran Ghods |
| author_sort | Rahimeh Eskandarian |
| collection | DOAJ |
| description | Nowadays, the use of central venous catheter insertion (CVC), has abundantly increased. It is a common technique in critically ill patients who are admitted to intensive care and emergency departments in order to hemodynamic monitoring and fluid and medication administration. In this report, we express a 28-year-old man who has multiple trauma with decreased level of consciousness during a car accident three months ago and needs intensive care and monitoring by central venous catheter placing. A missed guide wire remaining inside the venous system after peripherally inserted in femoral vein that was incidentally diagnosed by taking a chest X-ray after three months. Although, guide wires are often retrieved by snaring catheter under fluoroscopic guidance and an interventional cardiologist, we have successfully extracted the lost wire through vascular surgery. Eventually, this report is supposed to increase awareness of this rare and preventable complication and to provide a solution to prevent this complication. Finally, the purpose of this report is to emphasize that surgical extracting is the best intervention to remove the missed guide wire (after 3 months) and this optioncould be developed, introduced and standardized in appropriate and controlled conditions. |
| first_indexed | 2024-12-11T18:49:24Z |
| format | Article |
| id | doaj.art-4be938ef97ad4eea8a9dbed7ab285687 |
| institution | Directory Open Access Journal |
| issn | 2322-2522 2322-3960 |
| language | English |
| last_indexed | 2024-12-11T18:49:24Z |
| publishDate | 2022-07-01 |
| publisher | Shiraz University of Medical Sciences |
| record_format | Article |
| series | Bulletin of Emergency and Trauma |
| spelling | doaj.art-4be938ef97ad4eea8a9dbed7ab2856872022-12-22T00:54:20ZengShiraz University of Medical SciencesBulletin of Emergency and Trauma2322-25222322-39602022-07-0110313814010.30476/beat.2021.90494.125547726A Case Report: Surgical Removal of Missing Guide Wire, Is it the Best Intervention?Rahimeh Eskandarian0Abolfazl Abdollahpour1Shahrzad Aghaamoo2Narges Amini3Hoda Zangian4Kamran Ghods5Interventional Cardiologist, Semnan University of Medical Sciences, Semnan, IranDepartment of Anesthesiology, Kowsar Hospital, Semnan University of Medical Sciences, Semnan, IranDepartment of Obstetrics and Gynecology, Semnan University of Medical Sciences, Semnan, IranDepartment of Cardiac Surgery, Semnan University of Medical Sciences, Semnan, IranDepartment of Cardiac Anesthesiology, Semnan University of Medical Sciences, Semnan, IranCardiac Surgeon, Semnan University of Medical Sciences, Semnan, IranNowadays, the use of central venous catheter insertion (CVC), has abundantly increased. It is a common technique in critically ill patients who are admitted to intensive care and emergency departments in order to hemodynamic monitoring and fluid and medication administration. In this report, we express a 28-year-old man who has multiple trauma with decreased level of consciousness during a car accident three months ago and needs intensive care and monitoring by central venous catheter placing. A missed guide wire remaining inside the venous system after peripherally inserted in femoral vein that was incidentally diagnosed by taking a chest X-ray after three months. Although, guide wires are often retrieved by snaring catheter under fluoroscopic guidance and an interventional cardiologist, we have successfully extracted the lost wire through vascular surgery. Eventually, this report is supposed to increase awareness of this rare and preventable complication and to provide a solution to prevent this complication. Finally, the purpose of this report is to emphasize that surgical extracting is the best intervention to remove the missed guide wire (after 3 months) and this optioncould be developed, introduced and standardized in appropriate and controlled conditions.https://beat.sums.ac.ir/article_47726_0a78ebead9bf531aa30039d26443e04d.pdfcentral venous cathetercomplicationguide wiremissedsurgical removal |
| spellingShingle | Rahimeh Eskandarian Abolfazl Abdollahpour Shahrzad Aghaamoo Narges Amini Hoda Zangian Kamran Ghods A Case Report: Surgical Removal of Missing Guide Wire, Is it the Best Intervention? Bulletin of Emergency and Trauma central venous catheter complication guide wire missed surgical removal |
| title | A Case Report: Surgical Removal of Missing Guide Wire, Is it the Best Intervention? |
| title_full | A Case Report: Surgical Removal of Missing Guide Wire, Is it the Best Intervention? |
| title_fullStr | A Case Report: Surgical Removal of Missing Guide Wire, Is it the Best Intervention? |
| title_full_unstemmed | A Case Report: Surgical Removal of Missing Guide Wire, Is it the Best Intervention? |
| title_short | A Case Report: Surgical Removal of Missing Guide Wire, Is it the Best Intervention? |
| title_sort | case report surgical removal of missing guide wire is it the best intervention |
| topic | central venous catheter complication guide wire missed surgical removal |
| url | https://beat.sums.ac.ir/article_47726_0a78ebead9bf531aa30039d26443e04d.pdf |
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