A Double Rarity: Lost intravascular Catheter Guidewire in Persistent Left Superior Vena Cava and Coronary Sinus - A Case Report.

Palic, Benjamin; Goluza Sesar, Marija; Galic, Kristina; Bogdan, Gojko; Prskalo, Zrinko

Palic, Benjamin; Goluza Sesar, Marija; Galic, Kristina; Bogdan, Gojko; Prskalo, Zrinko.

Afiliación

Palic B; Department of Internal Medicine, University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina.
Goluza Sesar M; Department of Pathophysiology, School of Medicine, University of Mostar, Mostar, Bosnia and Herzegovina.
Galic K; Department of Pulmonology, University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina.
Bogdan G; Department of Pulmonology, University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina.
Prskalo Z; Department of Radiology, University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina.

Vasc Health Risk Manag ; 20: 245-250, 2024.

Article en En | MEDLINE | ID: mdl-38859874

ABSTRACT

ABSTRACT

Guidewire loss is a rare complication of central venous catheterization. A 65-year-old male was hospitalized in a high-dependency unit for exacerbation of chronic obstructive pulmonary disease, pneumonia, erythrocytosis, and clinical signs of heart failure. Upon admission, after an unsuccessful right jugular approach, a left jugular central venous catheter was placed. The next day, chest radiography revealed the catheter located in the left parasternal region, with suspected retention of the guidewire, visually confirmed by the presence of its proximal end inside the catheter. The left parasternal location of the catheter and the typical projection of the guidewire in the coronary sinus, later confirmed by echocardiography, raised suspicion of a persistent left superior vena cava (PLSVC). Agitated saline injected into the left antecubital vein confirmed bubble entry from the coronary sinus into the right atrium. After clamping the guidewire, the catheter was carefully retrieved along with the guidewire without any complications. This is the first reported case of guidewire retention in PLSVC and coronary sinus. It underscores the potential causes of guidewire loss and advocates preventive measures to avoid this potentially fatal complication.

Asunto(s)

Cateterismo Venoso Central; Catéteres Venosos Centrales; Seno Coronario; Remoción de Dispositivos; Vena Cava Superior Izquierda Persistente; Humanos; Masculino; Anciano; Seno Coronario/anomalías; Seno Coronario/diagnóstico por imagen; Cateterismo Venoso Central/instrumentación; Cateterismo Venoso Central/efectos adversos; Vena Cava Superior Izquierda Persistente/complicaciones; Vena Cava Superior Izquierda Persistente/diagnóstico por imagen; Vena Cava Superior Izquierda Persistente/terapia; Resultado del Tratamiento; Catéteres de Permanencia; Vena Cava Superior/anomalías; Vena Cava Superior/diagnóstico por imagen; Flebografía

Palabras clave

central venous catheter; chronic obstructive lung disease; congestive heart failure; intraoperative complication; persistent left superior vena cava

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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cateterismo Venoso Central / Remoción de Dispositivos / Seno Coronario / Catéteres Venosos Centrales / Vena Cava Superior Izquierda Persistente Límite: Aged / Humans / Male Idioma: En Revista: Vasc Health Risk Manag Asunto de la revista: ANGIOLOGIA Año: 2024 Tipo del documento: Article Pais de publicación: Nueva Zelanda

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