CTICasesRetained Central Venous Catheter Guidewire
Imaging findings
Postoperative chest radiographs demonstrate a central venous catheter in the right internal jugular vein with a persistent, highly radiopaque guidewire passing through the catheter lumen and extending inferiorly down into the inferior vena cava.
Key takeaways
Retained central venous guidewires are preventable iatrogenic complications of catheterization that can go unnoticed on initial postoperative radiographs due to visual overlay and distraction by other lines and support devices. Retrospective recognition and prompt communication are required for immediate, uncomplicated removal to avoid vascular injury or guide-wire embolization.
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