RARE COMPLICATION OF CENTRAL VENOUS INTERVENTION: FORGOTTEN GUIDE WIRE CAUSING INTERMITTENT TACHYCARDIA FOR 3 YEARS

VII-INTERNATIONAL EUROPEAN CONFERENCE ON INTERDISCIPLINARY SCIENTIFIC RESEARCH, Frankfurt, Almanya, 28 Mart 2023, ss.159-162

ABSTRACT

The use of invasive vascular interventions (IVI) in operating rooms, emergency departments,

intensive care units (ICU), and units for cardiologic and radiologic procedures is on the rise.

During IVI, there is a chance for serious consequences, both early and late. Rarely, the failure

of a guide wire to enter the arterial lumen can result in mortality and morbidity such as

thrombosis, infections, cardiac arrhythmia, and perforation. The most often utilised veins are

the internal jugular, femoral, and subclavian veins. 74 years old female patient living in rural

area presented to our polyclinic with intermittent heart palpitation and sense of needle sticking

in her neck. She had history of coronary artery percutaneous intervention after acute myocardial

infarction approximately 3 years ago. Without any cardiac complication she was discharged

back then. Her x ray and doppler ultrasound revealed a catheter guide wire stick to her jugular

vein and continues to right common iliac vein. Operation was planned and through right neck

incision jugular vein was explored and cross clamped proximally and distally. The guide wired

sticked to jugular vein intimal layer was dissected carefully and removed. Her complaints were

resolved in a week follow up. We think it's important to check whether a catheter-related issue

manifests by radiological evaluation in the immediate aftermath of placing a central venous

catheter since it's an intrusive procedure that has the potential to generate consequences that

can be fatal.

Keywords: Forgotten guide wire, invasive vascular interventions, complication.