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Guidewire Mishap: An Avoidable Iatrogenic Complication

Archana Rani1, Praveen K Malik2

  • 1Department of Anesthesia, Hamdard Institute of Medical Sciences and Research, New Delhi, India.

Indian Journal of Critical Care Medicine : Peer-Reviewed, Official Publication of Indian Society of Critical Care Medicine
|September 6, 2019
PubMed

Insights

Central vein catheterization can lead to complications, including lost guidewires during femoral venous catheterization. This guidewire embolization is a preventable iatrogenic complication that may go unnoticed.

Area of Science:

  • Vascular Surgery
  • Interventional Radiology
  • Critical Care Medicine

Background:

  • Central vein catheterization is a frequent procedure in hospitalized patients for venous access.
  • Complications include bleeding, thrombosis, infection, and guidewire loss.

Purpose of the Study:

  • To report a case of a lost guidewire during femoral venous catheterization.
  • To highlight guidewire embolization as a preventable iatrogenic complication.

Main Methods:

  • Case report of a patient undergoing femoral venous catheterization.
  • Review of potential complications associated with central venous access procedures.

Main Results:

  • A complete guidewire embolization occurred during femoral venous catheterization.
  • This complication can be asymptomatic and remain undetected for extended periods.

Conclusions:

  • Guidewire embolization is a completely preventable complication of central venous catheterization.
  • Awareness and careful technique are crucial to avoid this iatrogenic mishap.

Keywords:
Central venous catheterizationGuidewireHemodialysis

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