Work

A Devastating Complication of Central Venous Catheter Insertion.

Year: 2019

Type: article

Abstract: Retained guidewire is a major complication of central line placement. We present a patient with infective endocarditis caused by a retained guidewire. A young man admitted to our emergency department complained of debilitating weakness, productive cough, and fever for seven days. Chest radiography showed some lesions in both lungs as well as a retained guidewire. Past history revealed a thermal burn injury one month before, during which an internal jugular central venous line was inserted. Echocardiography showed multiple large vegetations in right atrium and right ventricle. Thus, infective endocarditis and multiple embolic lung lesions were treated with empirical antibiotics. Guidewire was removed by vascular surgery service. Unfortunately, the patient died before undergoing open-heart surgical intervention. It is believed that central vein catheterization requires special attention to perform through the Seldinger technique skillfully and under supervision to avoid preventable complications.

Source: PubMed

DOI: 10.6705/j.jacme.201906_9(2).0005

Authors: Maryam Bahreini, Alireza Jalali, Atefeh Abdollahi, Babak Choobi Anzali

Institutions: Sina Hospital, Tehran University of Medical Sciences, Zabol University of Medical Sciences, Urmia University of Medical Sciences

Language: English

Topic: Infective Endocarditis Diagnosis and Management

Subfield: Epidemiology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: green

OpenAlex ID: W2985644876

FWCI: 0.166

Cites: 9

Cited by: 2

Related to: 10