Recurrent Chylothorax Caused by a Retained Guidewire in a Central Vein: A Case Report
The loss of a guidewire occurs very rarely during central venous catheterization (CVC). Guidewire loss can lead to serious mechanical, thrombotic, and infectious complications. A 74-year-old woman was admitted to our institution with dyspnea. Chest computed tomography revealed a guidewire that had r...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Korea Geriatrics Society
2017-09-01
|
| Series: | Annals of Geriatric Medicine and Research |
| Subjects: | |
| Online Access: | http://www.e-agmr.org/journal/view.html?doi=10.4235/agmr.2017.21.3.142 |
| _version_ | 1818518581939273728 |
|---|---|
| author | Young-Do Jeon Eun Kyoung Kim Ji-Won Hwang Il Park Nam-Joon Kim |
| author_facet | Young-Do Jeon Eun Kyoung Kim Ji-Won Hwang Il Park Nam-Joon Kim |
| author_sort | Young-Do Jeon |
| collection | DOAJ |
| description | The loss of a guidewire occurs very rarely during central venous catheterization (CVC). Guidewire loss can lead to serious mechanical, thrombotic, and infectious complications. A 74-year-old woman was admitted to our institution with dyspnea. Chest computed tomography revealed a guidewire that had remained in a central vein for 3 years, and the patient had extensive central venous thrombosis and a chylothorax. The guidewire and venous thrombus could not be removed because of high perioperative risk due to adhesions and chronic atrophic changes of the intravascular layer. The chylothorax was resistant to conservative treatment. Therefore, the patient was subjected to thoracic duct ligation and embolization. Subsequently, the chylothorax disappeared and the patient was discharged. Physicians should be especially aware of the adverse effects caused by a remnant guidewire and the need for simple chest radiography after CVC. |
| first_indexed | 2024-12-11T01:12:04Z |
| format | Article |
| id | doaj.art-c8e010317d804735b0f373d9d49f3ca3 |
| institution | Directory Open Access Journal |
| issn | 2508-4798 |
| language | English |
| last_indexed | 2024-12-11T01:12:04Z |
| publishDate | 2017-09-01 |
| publisher | Korea Geriatrics Society |
| record_format | Article |
| series | Annals of Geriatric Medicine and Research |
| spelling | doaj.art-c8e010317d804735b0f373d9d49f3ca32022-12-22T01:26:00ZengKorea Geriatrics SocietyAnnals of Geriatric Medicine and Research2508-47982017-09-0121314214410.4235/agmr.2017.21.3.142agmr.2017.21.3.142Recurrent Chylothorax Caused by a Retained Guidewire in a Central Vein: A Case ReportYoung-Do Jeon0Eun Kyoung Kim1Ji-Won Hwang2Il Park3Nam-Joon Kim4Division of Cardiology, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, KoreaDivision of Cardiology, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, KoreaDivision of Cardiology, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, KoreaDivision of Cardiology, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, KoreaDivision of Cardiology, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, KoreaThe loss of a guidewire occurs very rarely during central venous catheterization (CVC). Guidewire loss can lead to serious mechanical, thrombotic, and infectious complications. A 74-year-old woman was admitted to our institution with dyspnea. Chest computed tomography revealed a guidewire that had remained in a central vein for 3 years, and the patient had extensive central venous thrombosis and a chylothorax. The guidewire and venous thrombus could not be removed because of high perioperative risk due to adhesions and chronic atrophic changes of the intravascular layer. The chylothorax was resistant to conservative treatment. Therefore, the patient was subjected to thoracic duct ligation and embolization. Subsequently, the chylothorax disappeared and the patient was discharged. Physicians should be especially aware of the adverse effects caused by a remnant guidewire and the need for simple chest radiography after CVC.http://www.e-agmr.org/journal/view.html?doi=10.4235/agmr.2017.21.3.142ChylothoraxCentral venous catheterizationVenous thrombosis |
| spellingShingle | Young-Do Jeon Eun Kyoung Kim Ji-Won Hwang Il Park Nam-Joon Kim Recurrent Chylothorax Caused by a Retained Guidewire in a Central Vein: A Case Report Annals of Geriatric Medicine and Research Chylothorax Central venous catheterization Venous thrombosis |
| title | Recurrent Chylothorax Caused by a Retained Guidewire in a Central Vein: A Case Report |
| title_full | Recurrent Chylothorax Caused by a Retained Guidewire in a Central Vein: A Case Report |
| title_fullStr | Recurrent Chylothorax Caused by a Retained Guidewire in a Central Vein: A Case Report |
| title_full_unstemmed | Recurrent Chylothorax Caused by a Retained Guidewire in a Central Vein: A Case Report |
| title_short | Recurrent Chylothorax Caused by a Retained Guidewire in a Central Vein: A Case Report |
| title_sort | recurrent chylothorax caused by a retained guidewire in a central vein a case report |
| topic | Chylothorax Central venous catheterization Venous thrombosis |
| url | http://www.e-agmr.org/journal/view.html?doi=10.4235/agmr.2017.21.3.142 |
| work_keys_str_mv | AT youngdojeon recurrentchylothoraxcausedbyaretainedguidewireinacentralveinacasereport AT eunkyoungkim recurrentchylothoraxcausedbyaretainedguidewireinacentralveinacasereport AT jiwonhwang recurrentchylothoraxcausedbyaretainedguidewireinacentralveinacasereport AT ilpark recurrentchylothoraxcausedbyaretainedguidewireinacentralveinacasereport AT namjoonkim recurrentchylothoraxcausedbyaretainedguidewireinacentralveinacasereport |