Central Venous Pressure Catheter (CVP) Guide Wire Loss an Uncommon Complication of Very Common Procedure and its Percutaneous Removal- A Case Report

  • Salman Ahmed National Institute of Cardiovascular Diseases, Karachi Pakistan
  • Naeem Mengal National Institute of Cardiovascular Diseases, Karachi Pakistan
  • Muhammad Raza -ul- Haq National Institute of Cardiovascular Diseases, Karachi Pakistan
  • Gulshan Ahmed National Institute of Cardiovascular Diseases, Karachi Pakistan
  • Zain Mehmood National Institute of Cardiovascular Diseases, Karachi Pakistan
  • Khadijah Abid College of Physicians and Surgeons, Karachi Pakistan
Keywords: Central venous pressure catheter, Ileal perforation, Laparotomy, Subclavian vein

Abstract

A 50 years old male with a history of alcoholism was admitted to the Department of Surgery. He was diagnosed with acute abdomen secondary to ileal perforation. A laparotomy was carried out, and a Central venous pressure catheter (CVP) was inserted through the right femoral approach post-operatively. The procedure was complicated by CVP guide wire loss in the femoral vein, which was embolized in all the possible ways from the Inferior Vena cava to the left subclavian vein. The patient was subtly shifted to the cardiac catheterization lab to manage this unusual common procedure complication effectively. The 8 French sheaths through the right femoral vein were passed, and the snare of the guide wire from the same right femoral vein was done with the help of a JR catheter and endovascular snare. The patient was shifted back to the surgical ward in stable condition.

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Published
2022-11-07
How to Cite
Ahmed, S., Mengal, N., Haq, M. R., Ahmed, G., Mehmood, Z., & Abid, K. (2022). Central Venous Pressure Catheter (CVP) Guide Wire Loss an Uncommon Complication of Very Common Procedure and its Percutaneous Removal- A Case Report. Pakistan Armed Forces Medical Journal, 72(5), 1850-51. https://doi.org/10.51253/pafmj.v72i5.6693
Section
Case Reports