Surgical Extraction of Residual CVC Guide Wire after One Year: Case Report
Complete remaining guide wire in the vascular system after CVC is very rare. For which the maximum symptom-free reporting time in studies was five months, and in our case, the patient was symptom-free for one year. The only finding was one session complaining of ear pain and mastoid tenderness two...
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| Format: | Article |
| Language: | English |
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Tehran University of Medical Sciences
2023-12-01
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| Series: | Archives of Anesthesia and Critical Care |
| Subjects: | |
| Online Access: | https://aacc.tums.ac.ir/index.php/aacc/article/view/745 |
| _version_ | 1797219222337617920 |
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| author | Malihe Sehat Abbas Ahmadi |
| author_facet | Malihe Sehat Abbas Ahmadi |
| author_sort | Malihe Sehat |
| collection | DOAJ |
| description |
Complete remaining guide wire in the vascular system after CVC is very rare. For which the maximum symptom-free reporting time in studies was five months, and in our case, the patient was symptom-free for one year. The only finding was one session complaining of ear pain and mastoid tenderness two weeks after catheter placement.
A 42-year-old male patient with the diagnosis of necrotizing pancreatitis and a retroperitoneal abscess was a candidate for laparotomy after ERCP. The patient was a candidate for central venous catheter insertion through the internal jugular vein before the surgery in the operating room by a third-year anesthesia resident. After one year, discovered that incidentally remaining guide wire during a follow-up MRI before pancreatitis. Which has been asymptomatic during this period. And despite the risk of rupture of the right heart and blood vessels due to possible fibrosis due to a long stay in the cardiovascular system, it is successfully removed by an endovascular surgeon.
The main reasons for the incident were the non-observance of scientific and safety principles at the time of catheter insertion and the failure to perform CXR after that.
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| first_indexed | 2024-04-24T12:30:13Z |
| format | Article |
| id | doaj.art-f6a39dbd44b94b7f97d8013910257854 |
| institution | Directory Open Access Journal |
| issn | 2423-5849 |
| language | English |
| last_indexed | 2024-04-24T12:30:13Z |
| publishDate | 2023-12-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Archives of Anesthesia and Critical Care |
| spelling | doaj.art-f6a39dbd44b94b7f97d80139102578542024-04-08T06:28:17ZengTehran University of Medical SciencesArchives of Anesthesia and Critical Care2423-58492023-12-0110210.18502/aacc.v10i2.15072Surgical Extraction of Residual CVC Guide Wire after One Year: Case ReportMalihe Sehat0Abbas Ahmadi1Department of Anesthesiology, Shahid Beheshti Hospital, School of Medicine, Qom University of Medical Sciences, Qom, Iran.Department of Anesthesiology, Shahid Beheshti Hospital, School of Medicine, Qom University of Medical Sciences, Qom, Iran. Complete remaining guide wire in the vascular system after CVC is very rare. For which the maximum symptom-free reporting time in studies was five months, and in our case, the patient was symptom-free for one year. The only finding was one session complaining of ear pain and mastoid tenderness two weeks after catheter placement. A 42-year-old male patient with the diagnosis of necrotizing pancreatitis and a retroperitoneal abscess was a candidate for laparotomy after ERCP. The patient was a candidate for central venous catheter insertion through the internal jugular vein before the surgery in the operating room by a third-year anesthesia resident. After one year, discovered that incidentally remaining guide wire during a follow-up MRI before pancreatitis. Which has been asymptomatic during this period. And despite the risk of rupture of the right heart and blood vessels due to possible fibrosis due to a long stay in the cardiovascular system, it is successfully removed by an endovascular surgeon. The main reasons for the incident were the non-observance of scientific and safety principles at the time of catheter insertion and the failure to perform CXR after that. https://aacc.tums.ac.ir/index.php/aacc/article/view/745catheterizationcentral venous Cathetersendovascular procedure |
| spellingShingle | Malihe Sehat Abbas Ahmadi Surgical Extraction of Residual CVC Guide Wire after One Year: Case Report Archives of Anesthesia and Critical Care catheterization central venous Catheters endovascular procedure |
| title | Surgical Extraction of Residual CVC Guide Wire after One Year: Case Report |
| title_full | Surgical Extraction of Residual CVC Guide Wire after One Year: Case Report |
| title_fullStr | Surgical Extraction of Residual CVC Guide Wire after One Year: Case Report |
| title_full_unstemmed | Surgical Extraction of Residual CVC Guide Wire after One Year: Case Report |
| title_short | Surgical Extraction of Residual CVC Guide Wire after One Year: Case Report |
| title_sort | surgical extraction of residual cvc guide wire after one year case report |
| topic | catheterization central venous Catheters endovascular procedure |
| url | https://aacc.tums.ac.ir/index.php/aacc/article/view/745 |
| work_keys_str_mv | AT malihesehat surgicalextractionofresidualcvcguidewireafteroneyearcasereport AT abbasahmadi surgicalextractionofresidualcvcguidewireafteroneyearcasereport |