Successful removal of an intra-pericardic Kirschner wire via fluoroscopy-guided minimal invasive approach: a case report
Abstract Background Kirschner wires are widely used in trauma surgery. Their migration into the pericardium is a rare but often fatal phenomenon, requiring urgent management. Case presentation We describe the case of a 65-year-old patient who underwent Kirschner wire placement to treat a humeral hea...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2024-03-01
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| Series: | Surgical Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40792-023-01803-8 |
| _version_ | 1797259098677313536 |
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| author | Olivier Georges Florence De Dominicis Malek Ben Rahal Jules Le Pessot Pascal Berna Osama Abou Arab Christophe Beyls |
| author_facet | Olivier Georges Florence De Dominicis Malek Ben Rahal Jules Le Pessot Pascal Berna Osama Abou Arab Christophe Beyls |
| author_sort | Olivier Georges |
| collection | DOAJ |
| description | Abstract Background Kirschner wires are widely used in trauma surgery. Their migration into the pericardium is a rare but often fatal phenomenon, requiring urgent management. Case presentation We describe the case of a 65-year-old patient who underwent Kirschner wire placement to treat a humeral head fracture. Three months after the operation, pleural and pericardial effusions with cardiac tamponade were observed, leading to the diagnosis of wire migration within the pericardium. A minimally invasive approach guided by fluoroscopy allowed emergency wire extraction without needing a median sternotomy. The postoperative clinical course was uncomplicated. Conclusions The use of pre- and per-operative multimodal imaging allowed for the safe extraction of an intra-pericardial Kirschner wire through a minimally invasive approach. |
| first_indexed | 2024-04-24T23:04:02Z |
| format | Article |
| id | doaj.art-b90e95b645f64de2a5d674799c4b2aa3 |
| institution | Directory Open Access Journal |
| issn | 2198-7793 |
| language | English |
| last_indexed | 2024-04-24T23:04:02Z |
| publishDate | 2024-03-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj.art-b90e95b645f64de2a5d674799c4b2aa32024-03-17T12:36:30ZengSpringerOpenSurgical Case Reports2198-77932024-03-011011410.1186/s40792-023-01803-8Successful removal of an intra-pericardic Kirschner wire via fluoroscopy-guided minimal invasive approach: a case reportOlivier Georges0Florence De Dominicis1Malek Ben Rahal2Jules Le Pessot3Pascal Berna4Osama Abou Arab5Christophe Beyls6Department of Thoracic Surgery, Anesthesiology and Critical Care Medicine, Amiens University HospitalDepartment of Thoracic Surgery, Anesthesiology and Critical Care Medicine, Amiens University HospitalDepartment of Thoracic Surgery, Anesthesiology and Critical Care Medicine, Amiens University HospitalDepartment of Thoracic Surgery, Anesthesiology and Critical Care Medicine, Amiens University HospitalDepartment of Thoracic Surgery, Clinique Victor PauchetDepartment of Anesthesiology and Critical Care Medicine, Amiens University HospitalDepartment of Anesthesiology and Critical Care Medicine, Amiens University HospitalAbstract Background Kirschner wires are widely used in trauma surgery. Their migration into the pericardium is a rare but often fatal phenomenon, requiring urgent management. Case presentation We describe the case of a 65-year-old patient who underwent Kirschner wire placement to treat a humeral head fracture. Three months after the operation, pleural and pericardial effusions with cardiac tamponade were observed, leading to the diagnosis of wire migration within the pericardium. A minimally invasive approach guided by fluoroscopy allowed emergency wire extraction without needing a median sternotomy. The postoperative clinical course was uncomplicated. Conclusions The use of pre- and per-operative multimodal imaging allowed for the safe extraction of an intra-pericardial Kirschner wire through a minimally invasive approach.https://doi.org/10.1186/s40792-023-01803-8Kirchner wirePericardiumThoracic surgeryMinimally invasive |
| spellingShingle | Olivier Georges Florence De Dominicis Malek Ben Rahal Jules Le Pessot Pascal Berna Osama Abou Arab Christophe Beyls Successful removal of an intra-pericardic Kirschner wire via fluoroscopy-guided minimal invasive approach: a case report Surgical Case Reports Kirchner wire Pericardium Thoracic surgery Minimally invasive |
| title | Successful removal of an intra-pericardic Kirschner wire via fluoroscopy-guided minimal invasive approach: a case report |
| title_full | Successful removal of an intra-pericardic Kirschner wire via fluoroscopy-guided minimal invasive approach: a case report |
| title_fullStr | Successful removal of an intra-pericardic Kirschner wire via fluoroscopy-guided minimal invasive approach: a case report |
| title_full_unstemmed | Successful removal of an intra-pericardic Kirschner wire via fluoroscopy-guided minimal invasive approach: a case report |
| title_short | Successful removal of an intra-pericardic Kirschner wire via fluoroscopy-guided minimal invasive approach: a case report |
| title_sort | successful removal of an intra pericardic kirschner wire via fluoroscopy guided minimal invasive approach a case report |
| topic | Kirchner wire Pericardium Thoracic surgery Minimally invasive |
| url | https://doi.org/10.1186/s40792-023-01803-8 |
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