Delayed diagnosis of a retained guidewire after bedside femoral venous catheter insertion: A preventable complication.

Autor:	Almehmi SE; Biology Department, University of Alabama at Birmingham, Birmingham, AL, USA., Abaza M; Biology Department, University of Alaska at Anchorage, Anchorage, AK, USA., Krishna VN; Department of Radiology and Medicine, University of Alabama at Birmingham, Birmingham, AL, USA., Almehmi A; Department of Radiology and Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
Jazyk:	angličtina
Zdroj:	Radiology case reports [Radiol Case Rep] 2021 Dec 22; Vol. 17 (3), pp. 647-649. Date of Electronic Publication: 2021 Dec 22 (Print Publication: 2022).
DOI:	10.1016/j.radcr.2021.11.030
Abstrakt:	Central venous catheter (CVC) insertion is a commonly performed procedure that is used for continuous invasive hemodynamic monitoring, fluid resuscitation, drug therapy, and hemodialysis. CVC placement can be associated with serious complications that are mostly preventable. One of these complications is the loss of the guidewire within the intravascular space, which carries a high morbidity and mortality. Here, we describe a 44-year old patient who presented with acute kidney injury and metabolic derangements that necessitated bedside right femoral dialysis catheter to initiate emergent renal replacement therapy. A day after the catheter insertion, the guidewire was noted on a routine chest X-ray extending into the base of the skull. The clinical course was complicated with cerebral infarction. Subsequently, the retained guidewire was removed a few days after the CVC insertion. In summary, the retained guidewire within the circulation is associated with potentially life-threatening and hazardous outcomes. Continuing education, vigilant supervision, and implementing certain protocols are likely to prevent such undesirable events. (© 2021 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
Databáze:	MEDLINE
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