Muthe Mridula, Joshi Anagha, Firke Vikrant
Department of Radiology, Lokmanya Tilak Municipal General Hospital and Lokmanya Tilak Municipal Medical College, Mumbai, Maharashtra, India.
Indian J Crit Care Med. 2020 Jun;24(6):480-482. doi: 10.5005/jp-journals-10071-23462.
Hemodialysis catheter insertion is a common practice for the patients with renal failure. There are several complications associated with hemodialysis catheter insertion such as infection, catheter thrombosis, malposition, or vein stenosis; however, loss of guidewire during catheter insertion with its migration is a rare complication. We report the case of a 75-year-old male with forgotten displaced guidewire which came out spontaneously from the skull in the occipital region, three years after the hemodialysis. To the best of our knowledge, this is the only case that has been reported in literature till date. We also discuss the possible causes of a retained guidewire and measure to prevent it. Muthe M, Joshi A, Firke V. An Unusual Case of a Displaced Hemodialysis Catheter Guidewire Spontaneously Coming Out of Skull. Indian J Crit Care Med 2020;24(6):480-482.
血液透析导管插入术是肾衰竭患者的常见操作。血液透析导管插入术会引发多种并发症，如感染、导管血栓形成、位置不当或静脉狭窄；然而，导管插入过程中导丝丢失并移位是一种罕见的并发症。我们报告了一例75岁男性患者的病例，该患者在血液透析三年后，遗忘在体内移位的导丝自发地从枕部颅骨穿出。据我们所知，这是迄今为止文献中报道的唯一病例。我们还讨论了导丝残留的可能原因及预防措施。穆特M、乔希A、菲尔克V。一例移位的血液透析导管导丝自发从颅骨穿出的罕见病例。《印度重症监护医学杂志》2020年；24(6):480 - 482。
