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Updated: Mar 10, 2026
07:47
The Supraclavicular Fossa Ultrasound View for Central Venous Catheter Placement and Catheter Change Over Guidewire
Published on: December 23, 2014
20.4K
A Missing Guide Wire After Placement of Peripherally Inserted Central Venous Catheter
Muhammad Kashif1, Hafiz Hashmi1, Preeti Jadhav2
1Division of Pulmonary and Critical Care Medicine, Department of Medicine, Bronx Lebanon Hospital Center Affiliated with Icahn School of Medicine at Mount Sinai, Bronx, NY, USA.
The American Journal of Case Reports
|December 7, 2016
Summary
A lost guidewire during central line placement was found using bedside ultrasound. Guidewire complications are rare but serious, highlighting ultrasound
Area of Science:
- Critical Care Medicine
- Interventional Radiology
Background:
- Central venous catheterization is vital for critically ill patients, enabling hemodynamic monitoring and drug delivery.
- Peripherally inserted central catheters (PICCs) are commonly used for long-term venous access.
Observation:
- A case report details a retained guidewire after PICC placement in a patient with septic shock.
- Bedside ultrasound unexpectedly identified the misplaced guidewire in the patient's arm.
- Interventional radiology successfully retrieved the retained guidewire via a percutaneous procedure.
Findings:
- Guidewire-related complications, though infrequent, carry significant risks of mortality and morbidity.
- This case underscores the potential for retained guidewires during central line procedures.
Implications:
- Ultrasound-guided PICC line insertion improves vein selection and reduces complication rates.
- Routine use of ultrasound may prevent retained guidewire incidents and associated adverse outcomes.
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