CTICasesRetained Guidewire from Central Venous Catheter
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Imaging findings
Postoperative chest radiographs show an object projecting over the right ventricle, initially misinterpreted as a transvenous pacemaker. Closer inspection reveals it has the appearance of a floppy J-wire tip. The patient had multiple catheters, and the object was a retained guidewire from a triple lumen central venous catheter.
Key takeaways
It is crucial to accurately identify medical devices and distinguish them from others, especially in the postoperative setting. A retained guidewire is a known complication of central venous catheter placement, often occurring during emergent situations, and must be recognized to avoid patient harm.
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