TITLE:
A Lesson Learned from a Rare Case of Missing Guide Wire
AUTHORS:
Ng Kwang How, Anwar Irawan Ruhani
KEYWORDS:
Central Venous Catheterization, Retained Guide Wire, Endovascular Retrieval
JOURNAL NAME:
Open Access Library Journal,
Vol.9 No.1,
January
25,
2022
ABSTRACT: Central venous catheterization via the Seldinger technique is a minimally invasive procedure which is increasingly and widely performed. It is associated with immediate and delayed complications which might cause significant morbidity and mortality. The retained guidewire is a rare, potentially serious but completely avoidable complication. We reported a 74-year-old gentleman who presented with upper gastrointestinal bleeding and was successfully resuscitated. Central venous catheterization was done but complicated with an inadvertently retained guidewire. Endovascular retrieval of the retained guidewire was successfully performed under fluoroscopic guidance and patient was subsequently discharged well. We also described its predisposing factors, preventive strategies and its successful management. This case highlights the importance of correct technique, preventive strategies and timely rectification of medical errors.