CTICasesRetained Femoral Guide Wire (Second Case)
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Imaging findings
A chest radiograph from an ICU patient showed a J-tip guide wire visible in the right internal jugular vein, originating from below, in a patient with a dialysis catheter. Subsequent radiographs, even after intubation, showed the wire in the same position.
Key takeaways
Retained guide wires are a recurring issue, frequently associated with chaotic clinical situations like patient codes. Radiologists should be vigilant for these findings in all portable chest radiographs, regardless of other devices present, as early identification can prevent complications.
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