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  • Title: [Two Cases of Retained Guide Wires after Placement of a Central Venous Catheter via the Internal Jugular Vein].
    Author: Kobayashi Y, Masumori Y, Tanigawa S, Miyakawa H, Sakamoto M, Tateda T.
    Journal: Masui; 2015 Oct; 64(10):1085-7. PubMed ID: 26742416.
    Abstract:
    We report two cases of a retained guide wire after perioperative placement of a central venous catheter during a six-month period. Case 1: A 73-year-old male was scheduled for an open cholecystectomy and hepatectomy. After induction of anesthesia, a central venous (CV) catheter was inserted via the right internal jugular vein using an ultrasound guide. Chest radiographs showed a retained guide wire in the inferior vena cava immediately after surgery, which was removed by interventional radiologist before the patient emerged from anesthesia. Case 2: A 77-year-old male was scheduled for colostomy closure. The surgeon inserted a CV catheter in the right internal jugular vein 4 days before the colostomy. Chest radiographs revealed a retained guide wire in the inferior vena cava, which was removed by interventional radiologists before the patient emerged from anesthesia. Although a retained guide wire is a rare complication, awareness of this mishap is necessary to prevent it from happening.
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