Lost Venous Access Guidewire Identified by Its Late Cervical Protrusion: Case Report

We report a pediatric patient who underwent a central venous catheter (CVC) insertion and presented with a sudden protrusion of a guidewire from the neck 26 months later. The guidewire was extracted via femoral venotomy. A 5-cm portion of the guidewire adhering to the superior vena cava wall was lef...

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Detalles Bibliográficos
Autores principales: Osailan, Ahmed, De Queiroz Siqueira, Mathilde, Bouvet, Lionel, Chassard, Dominique
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8876437/
https://www.ncbi.nlm.nih.gov/pubmed/35171842
http://dx.doi.org/10.1213/XAA.0000000000001565
Descripción
Sumario:We report a pediatric patient who underwent a central venous catheter (CVC) insertion and presented with a sudden protrusion of a guidewire from the neck 26 months later. The guidewire was extracted via femoral venotomy. A 5-cm portion of the guidewire adhering to the superior vena cava wall was left in place. We recommend always using a CVC checklist, inspecting the guidewire before and after insertion, and carefully examining the postinsertion radiographs. This checklist should be mandatory with every CVC insertion, including the perioperative period.

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