A rare complication of a hemodialysis catheter insertion is the loss of the complete guide wire into the circulation. A complete guide wire in the circulation may not necessarily produce symptoms, and it may remain unnoticed for a significant period of time. We present a rare case where a complete guide wire was lost into the circulation during insertion of a hemodialysis catheter into the right femoral vein in a 19-year-old female with systemic lupus erythromatosis. The patient remained asymptomatic through two plasmapheresis treatments over a period of 2 days. The guide wire was eventually retrieved without complications. The factors leading to the wire being forgotten will be reviewed, and the measures initiated to prevent any future occurrence will be addressed.
Keywords: Central Venous Catheter, Hemodialysis, Plasmapheresis
Cited in 5 Documents
Matthew Wang, Zachary Nuffer, Zhongxia Hu, Alison Matich and Daniel Kawakyu-O’Connor Retained Guide Wire Migrates into the Brain Journal of Vascular and Interventional Radiology 29(10) 2018 1472. Doi: 10.1016/j.jvir.2018.05.004
Godratollah Maddah, Abbas Abdollahi, Ali Jangjoo, Sadjad Noorshafiee, Mohsen Abdollahi and Ali Mohammad Hasanzadeh Minimally Invasive Surgery in Loss of the Guide Wire: Case Report J Minim Invasive Surg Sci 2(1) 2013 108. Doi: 10.17795/minsurgery-3795
Godratollah Maddah, Abbas Abdollahi, Ali Jangjoo, Sadjad Noorshafiee, Mohsen Abdollahi and Ali Mohammad Hasanzadeh Minimally Invasive Surgery in Loss of the Guide Wire: Case Report J Minim Invasive Surg Sci 1(3) 2012 108. Doi: 10.5812/jmiss.3795
Jean-Marc Bugnicourt, Denis Belhomme, Bruno Bonnaire, Jean-Marc Constans and Cécile Manaouil Posterior Cerebral Infarction following Loss of Guide Wire Case Reports in Neurological Medicine 2013 2013 1. Doi: 10.1155/2013/164710
Krishna Pokharel, Binay Kumar Biswas, Mukesh Tripathi and Asish Subedi Missed Central Venous Guide Wires Critical Care Medicine 43(8) 2015 1745. Doi: 10.1097/CCM.0000000000001012
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