title: Complete guidewire retention after femoral vein catheterization.
abstract: Central venous catheters (CVCs) are often used for various purposes in the emergency departments (ED). The main uses of CVCs in the EDs are emergent hemodialysis, in situations where peripheral vein catheterization cannot be achieved, and continuous invasive hemodynamic monitoring. The complications related to CVC insertion are usually mechanical and observed in the near term after the procedure. Retained CVC guidewire after catheterization is a rare complication in the published reports and usually related with intra- or postoperative settings and jugular or subclavian vein. The present study reported a young female patient who underwent left femoral vein catheterization 6 months earlier in an intensive care unit of another hospital and was diagnosed with complete guidewire retention in the ED. To the best of the authors' knowledge, this is the first case in published reports with a diagnosis of retained CVC guidewire with retrograde migration into the femoral vein. Surprisingly, the patient developed no thrombotic or embolic complication during this 6-month period.
authors.forename: Bahar Gulcay
authors.initials: BG
authors.lastname: Cat
authors.affiliation: Sertaç Guler, MD Department of Emergency Medicine, Ankara Training and Research Hospital, Ankara, Turkey T: +90 532 554 83 88 drsertacguler@gmail.com.
authors.forename: Sertac
authors.initials: S
authors.lastname: Guler
authors.forename: Murat
authors.initials: M
authors.lastname: Soyuduru
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Guven
authors.forename: Hayri
authors.initials: H
authors.lastname: Ramadan
mesh_terms: D002405:Catheterization, Central Venous / Q000379:methods*; D062905:Central Venous Catheters / Q000009:adverse effects*; D005260:Female; D005268:Femoral Vein; D005547:Foreign Bodies / Q000175:diagnosis*; D006801:Humans; D013997:Time Factors; D055815:Young Adult