Intravenous loss of over‐the‐wire catheter guidewires in 13 horses
Abstract Background Over‐the‐wire (OTW) catheter placement is performed frequently in horses. Intravascular loss of a guidewire has been anecdotally reported, but there is limited information regarding the treatment and outcome of horses that have experienced this complication of OTW catheter placem...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2024-01-01
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| Series: | Journal of Veterinary Internal Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/jvim.16960 |
| _version_ | 1797349512190099456 |
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| author | Kallie J. Hobbs Kimberly A. S. Young Sara Nannarone Daniela Luethy Charlotte Hopster‐Iversen Harold C. McKenzie Elsa K. Ludwig |
| author_facet | Kallie J. Hobbs Kimberly A. S. Young Sara Nannarone Daniela Luethy Charlotte Hopster‐Iversen Harold C. McKenzie Elsa K. Ludwig |
| author_sort | Kallie J. Hobbs |
| collection | DOAJ |
| description | Abstract Background Over‐the‐wire (OTW) catheter placement is performed frequently in horses. Intravascular loss of a guidewire has been anecdotally reported, but there is limited information regarding the treatment and outcome of horses that have experienced this complication of OTW catheter placement. Objectives Describe the clinical and diagnostic features, treatment, and outcome of horses experiencing IV guidewire loss at the time of OTW catheter placement. Animals Thirteen horses. Methods Multicenter retrospective study to identify horses with IV guidewire loss. Horses of all ages were considered for inclusion. Horses were excluded from the study if complete medical records of signalment, indication, and outcome were not available. Intravenous guidewire loss was defined as the guidewire being lost IV at the time of OTW catheter placement. Results No horses in this study experienced adverse clinical signs associated with the loss of a guidewire. Eight horses had the guidewire removed and the guidewire was left in situ in 5 horses. None of the horses with the guidewire in situ had experienced long‐term effects. Conclusions and Clinical Importance Intravenous guidewire loss seems to have a good long‐term prognosis even in horses in which removal of the guidewire was not possible. Thus, in horses where guidewire removal is not feasible, guidewires that remain in situ may have limited to no adverse effects. |
| first_indexed | 2024-03-08T12:31:24Z |
| format | Article |
| id | doaj.art-875e1dd8d7eb48ab9e6827827b9cdc85 |
| institution | Directory Open Access Journal |
| issn | 0891-6640 1939-1676 |
| language | English |
| last_indexed | 2024-03-08T12:31:24Z |
| publishDate | 2024-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Veterinary Internal Medicine |
| spelling | doaj.art-875e1dd8d7eb48ab9e6827827b9cdc852024-01-22T02:05:50ZengWileyJournal of Veterinary Internal Medicine0891-66401939-16762024-01-0138141141610.1111/jvim.16960Intravenous loss of over‐the‐wire catheter guidewires in 13 horsesKallie J. Hobbs0Kimberly A. S. Young1Sara Nannarone2Daniela Luethy3Charlotte Hopster‐Iversen4Harold C. McKenzie5Elsa K. Ludwig6Department of Large Animal Clinical Sciences North Carolina State University College of Veterinary Medicine Raleigh North Carolina USADepartment of Large Animal Clinical Sciences North Carolina State University College of Veterinary Medicine Raleigh North Carolina USADepartment of Veterinary Medicine University of Perugia Perugia ItalyDepartment of Large Animal Clinical Sciences University of Florida College of Veterinary Medicine Gainesville Florida USADepartment of Veterinary Clinical Sciences, Faculty of Health and Medical Sciences University of Copenhagen Taastrup DenmarkDepartment of Large Animal Clinical Sciences Virginia Maryland College of Veterinary Medicine Blacksburg Virginia USADepartment of Large Animal Clinical Sciences North Carolina State University College of Veterinary Medicine Raleigh North Carolina USAAbstract Background Over‐the‐wire (OTW) catheter placement is performed frequently in horses. Intravascular loss of a guidewire has been anecdotally reported, but there is limited information regarding the treatment and outcome of horses that have experienced this complication of OTW catheter placement. Objectives Describe the clinical and diagnostic features, treatment, and outcome of horses experiencing IV guidewire loss at the time of OTW catheter placement. Animals Thirteen horses. Methods Multicenter retrospective study to identify horses with IV guidewire loss. Horses of all ages were considered for inclusion. Horses were excluded from the study if complete medical records of signalment, indication, and outcome were not available. Intravenous guidewire loss was defined as the guidewire being lost IV at the time of OTW catheter placement. Results No horses in this study experienced adverse clinical signs associated with the loss of a guidewire. Eight horses had the guidewire removed and the guidewire was left in situ in 5 horses. None of the horses with the guidewire in situ had experienced long‐term effects. Conclusions and Clinical Importance Intravenous guidewire loss seems to have a good long‐term prognosis even in horses in which removal of the guidewire was not possible. Thus, in horses where guidewire removal is not feasible, guidewires that remain in situ may have limited to no adverse effects.https://doi.org/10.1111/jvim.16960catheterequineguidewireintravenous |
| spellingShingle | Kallie J. Hobbs Kimberly A. S. Young Sara Nannarone Daniela Luethy Charlotte Hopster‐Iversen Harold C. McKenzie Elsa K. Ludwig Intravenous loss of over‐the‐wire catheter guidewires in 13 horses Journal of Veterinary Internal Medicine catheter equine guidewire intravenous |
| title | Intravenous loss of over‐the‐wire catheter guidewires in 13 horses |
| title_full | Intravenous loss of over‐the‐wire catheter guidewires in 13 horses |
| title_fullStr | Intravenous loss of over‐the‐wire catheter guidewires in 13 horses |
| title_full_unstemmed | Intravenous loss of over‐the‐wire catheter guidewires in 13 horses |
| title_short | Intravenous loss of over‐the‐wire catheter guidewires in 13 horses |
| title_sort | intravenous loss of over the wire catheter guidewires in 13 horses |
| topic | catheter equine guidewire intravenous |
| url | https://doi.org/10.1111/jvim.16960 |
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