文章基本信息

标题：A Lesson Learned from a Rare Case of Missing Guide Wire
本地全文：下载
作者：Ng Kwang How ; Anwar Irawan Ruhani
期刊名称：Open Access Library Journal
印刷版ISSN：2333-9705
电子版ISSN：2333-9721
出版年度：2022
卷号：9
期号：1
页码：1-5
DOI：10.4236/oalib.1108334
语种：English
出版社：Scientific Research Pub
摘要：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.
关键词：Central Venous CatheterizationRetained Guide WireEndovascular Retrieval