RETRIEVAL OF LOST GUIDE WIRE FROM IVC UNDER FLOROSCOPIC GUIDANCE: CASE REPORT.

Abstract

A guide wire is routinely used during central venous catheterization to facilitate the placement of the catheters, however, the use of a guide wire carries a certain risk of complications. The guide wire may get kinked, looped or may suffer breakage during the process of insertion. It may also get dislodged into a vessel. These complications may damage the vessel resulting in major hemorrhage, or thromboembolism. We report a case of guide wire dislodgement during right internal jugular central line placement. The guide wire got lodged in the inferior vena cava with its J loop in the right common femoral vein.  The guide wire was successfully retrieved by an interventional radiologist using a minimally invasive percutaneous technique in an interventional radiology suite under fluoroscopic guidance.