CTICasesRetained guide wire fragment causing hemothorax
Imaging findings
Radiograph and CT show a long guide wire fragment in the brachiocephalic vein extending into the IVC, left behind during a line placement 9 years prior, complicated by hemothorax.
Key takeaways
Retained guide wires are rare iatrogenic complications of central venous catheterization. They can remain asymptomatic for years before migrating and causing vascular perforation, thrombosis, or hemothorax.
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