Guidewire Mishap: An Avoidable Iatrogenic Complication

Praveen K Malik

doi:10.5005/jp-journals-10071-23225

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Guidewire Mishap: An Avoidable Iatrogenic Complication

Praveen K Malik

Keywords : Central venous catheterization, Guidewire, Hemodialysis

Citation Information : Malik PK. Guidewire Mishap: An Avoidable Iatrogenic Complication. Indian J Crit Care Med 2019; 23 (8):382-383.

DOI: 10.5005/jp-journals-10071-23225

License: CC BY-NC 4.0

Published Online: 01-08-2019

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Abstract

Central vein catheterization is a commonly used technique in indoor patients. It is mainly used for venous access, allowing administration of drugs, fluids, chemotherapy, blood components. Central vein catheterisation may lead to many complication which includes bleeding, perforation of veins and hematoma formation, thrombosis, infections, bleeding, needle stick injury, air embolism, kinking or looping of the wire tip, breakage of a guidewire, etc. We, hereby, report a case where the guidewire was lost during femoral venous catherisation. A whole guidewire embolization is completely preventable complication. It may not necessarily produce any symptoms and may remain unnoticed for long time.

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