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Retained Femoral Guide Wire (First Case)

Retained Femoral Guide Wire (First Case)▶ Watch on YouTube — age-restricted, cannot embed here

Imaging findings

An ICU radiograph showed a metallic guide wire just to the right of midline, still within a femoral catheter placed in the operating room. A follow-up pelvis radiograph confirmed the wire's presence, allowing it to be retrieved by placing a hemostat across it.

Key takeaways

Retained guide wires are an uncommon but critical iatrogenic complication, often occurring during stressful or complex line placements (e.g., after multiple failed attempts or in an operating room setting). Radiologists must diligently scrutinize all portable radiographs for such foreign bodies.

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