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Year : 2013  |  Volume : 20  |  Issue : 1  |  Page : 63-65

Unrecognised guide wire migration during internal jugular cannulation and its retrieval – A Case Report

1 Department of Surgery, Faculty of Clinical Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria
2 Department of Anaesthesia, Faculty of Clinical Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria

Correspondence Address:
A T Adenekan
Department of Surgery, Faculty of Clinical Sciences, Obafemi Awolowo University, Ile-Ife
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Source of Support: None, Conflict of Interest: None

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Aims and Objectives: The objective of this article is to report a case of unrecognised missed guide wire diagnosed two months after right internal jugular cannulation and which was successfully retrieved from the right femoral vein. Patient and Methods: The case record of a patient that had retained intravenous guide wire was reviewed with relevant literature. Result: A 40-yr-old female had an emergency left thoracotomy on account of haemorrhagic pleural effusion. A right internal jugular central venous catheter (CVC) insertion was performed for resuscitation and haemodynamic monitoring before induction of anaesthesia. A follow-up thoraco-abdominal Computed tomography (CT) scan taken after 8 weeks showed a pigtail intravascular metallic foreign body traversing the distal superior vena cava, right atrium, inferior vena cava, and ending at the right femoral vein. The guide wire was successfully removed via a right femoral venotomy under local anaesthesia. Conclusion: Intravascular loss of a guide wire is a rare complication of CVC insertion. If basic precautionary measures were taken, the loss of guide wire would have been avoided.

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