Retention of guidewire during central venous catheterization: A case report and review of the literature

Central venous catheterization is a common practice for vascular access in different patients. Various complications associated with catheter insertion, including infection, migration, and retention, have been reported. In this report, we present an Asian (Persian) case of a 53-year-old male with a retained guidewire that protruded spontaneously from the left parietal skull 6 months after catheterization in the femoral vein. We also discuss guidewire retention's different types, causes, and possible complications. Central venous lines are fundamental instruments that are frequently used for treatment goals; hence, loss of guidewire is a preventable complication. Preparing checklists and the attendance of two experts during the guide wire insertion procedure are two ways to reduce the loss of the guidewire.

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Publication Details

Journal
SAGE Open Medical Case Reports
Published
2025-07-01
DOI
https://doi.org/10.1177/2050313x251353278
Primary Topic
Central Venous Catheters and Hemodialysis
Type
article
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article

Retention of guidewire during central venous catheterization: A case report and review of the literature

Hosein Safari, Saleh Rasras, Mohammad Bakhtiari
SAGE Open Medical Case Reports
Central Venous Catheters and Hemodialysis
article

Retention of guidewire during central venous catheterization: A case report and review of the literature

Hosein Safari, Saleh Rasras, Mohammad Bakhtiari
article en

Abstract

Central venous catheterization is a common practice for vascular access in different patients. Various complications associated with catheter insertion, including infection, migration, and retention, have been reported. In this report, we present an Asian (Persian) case of a 53-year-old male with a retained guidewire that protruded spontaneously from the left parietal skull 6 months after catheterization in the femoral vein. We also discuss guidewire retention's different types, causes, and possible complications. Central venous lines are fundamental instruments that are frequently used for treatment goals; hence, loss of guidewire is a preventable complication. Preparing checklists and the attendance of two experts during the guide wire insertion procedure are two ways to reduce the loss of the guidewire.

SAGE Open Medical Case ReportsVol. 13
Ahvaz Jundishapur University of Medical Sciences (IR)
Good health and well-being
Openalex Percentile: Top 74%
Central Venous Catheters and Hemodialysis
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Retention of guidewire during central venous catheterization: A case report and review of the literature — Hosein Safari, Saleh Rasras, et al. · SAGE Open Medical Case Reports (2025) | TGRS Research Map | TGRS