A Case of Retained Guidewire Spontaneous Emerging from Skin Near Right Knee 8 Months after Central Venous Catheterization
Published: 2020-01-28
Page: 32-37
Issue: 2020 - Volume 3 [Issue 1]
Ram Singh Choudhary *
Department of General Surgery, Baroda Medical College and SSG Hospital, Vadodara, India.
Nimish J. Shah
Department of General Surgery, Baroda Medical College and SSG Hospital, Vadodara, India.
Abhay Audichya
Department of General Surgery, Baroda Medical College and SSG Hospital, Vadodara, India.
Rajvee Gohil
Department of General Surgery, Baroda Medical College and SSG Hospital, Vadodara, India.
*Author to whom correspondence should be addressed.
Abstract
Central venous catheterization is a common utensil used to monitor central venous pressure and administer intravenous fluids.
Retained guidewire is a rare but dreaded complication of intravascular interventions. The majority of cases are identified immediately or shortly after the procedure.
In our hospital a case of 22 years old female patient with symptoms of knee pain and right lower limb swelling with guide wire emerging out just below right knee joint 8 months after central venous catheterization.
With the help of artery forcep guidewire is slowly withdrawn from the protruding site in operation theatre.
Attention and proper guidance to trainee during procedure are required to minimize such complications as this is a completely preventable complication; a hold on tip of wire is maintained during placement.
Keywords: Central venous catheterization, guidewire, artery forcep, central venous pressure.