Taslimi Reza, Safari Saeed, Kazemeini Alireza, Aminian Ali, Joneidi Ehsan, Larti Farnoosh
Department of Internal Medicine, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Cases J. 2009 Aug 12;2:6680. doi: 10.4076/1757-1626-2-6680.
A lost guidewire is a hazardous, yet completely preventable, and rare complication associated with central venous catheter insertion. Here, we report a case of a lost guidewire in a patient presented with persistent abdominal pain. The guidewire was retrieved completely during a surgical operation after the diagnosis had been confirmed by radiologic studies. Following some tips during insertion of a central venous catheter will help to prevent this mortal complication or at least, in rapid diagnosis of its loss. Interventional radiologic techniques are now readily used to retrieve a lost guidewire.
导丝丢失是一种与中心静脉导管插入相关的危险但完全可预防且罕见的并发症。在此,我们报告一例因持续性腹痛就诊患者发生导丝丢失的病例。在通过放射学检查确诊后,在一次外科手术中导丝被完全取出。在插入中心静脉导管时遵循一些技巧将有助于预防这种致命并发症,或者至少有助于快速诊断其丢失情况。介入放射学技术现在已被广泛用于取出丢失的导丝。