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Guide wire outer coat shearing and embolisation: an unusual complication of pericardiocentesis
S C Reddy1, P Kamath, K K Talwar
1Division of Pediatric Cardiology, All India Institute of Medical Sciences, New Delhi, India.
International Journal of Cardiology
|June 27, 1997
Insights
A guide wire fractured during pericardiocentesis, embolizing to the pulmonary artery. This foreign body was successfully retrieved using a pervenous approach, highlighting a rare complication and its effective management.
Area of Science:
- Cardiology
- Interventional Radiology
- Medical Device Complications
Background:
- Pericardiocentesis is a procedure to drain fluid from the pericardial sac.
- Guide wires are commonly used in cardiovascular interventions.
- Complications, though rare, can occur during invasive procedures.
Observation:
- A case of guide wire shearing during pericardiocentesis is presented.
- The fractured guide wire embolized to the pulmonary artery.
- This represents an unusual foreign body complication.
Findings:
- Successful retrieval of the embolized guide wire fragment.
- The pervenous method was employed for foreign body removal.
- Demonstrates the feasibility of endovascular techniques for managing such complications.
Implications:
- Highlights the risk of guide wire damage during pericardiocentesis.
- Emphasizes the importance of vigilance for procedural complications.
- Showcases the pervenous approach as a viable treatment option for pulmonary artery foreign bodies.
Abstract:
We report a case of shearing of the outer coat of the guide wire and its embolization into the pulmonary artery during pericardiocentesis. This unusual foreign body was successfully removed by pervenous method.