A Case of Retained Guidewire Spontaneous Emerging from Skin Near Right Knee 8 Months after Central Venous Catheterization

Main Article Content

Ram Singh Choudhary
Nimish J. Shah
Abhay Audichya
Rajvee Gohil


Central venous catheterization is a common utensil used to monitor central venous pressure and administer intravenous fluids.

Retained guidewire is a rare but dreaded complication of intravascular interventions. The majority of cases are identified immediately or shortly after the procedure.

In our hospital a case of 22 years old female patient with symptoms of  knee pain and right lower limb swelling with guide wire emerging out just below right knee joint 8 months after central venous catheterization.

With the help of artery forcep guidewire is slowly withdrawn from the protruding site in operation theatre.

Attention and proper guidance to trainee during procedure are required to minimize such complications as this is a completely preventable complication; a hold on tip of wire is maintained during placement.

Central venous catheterization, guidewire, artery forcep, central venous pressure.

Article Details

How to Cite
Singh Choudhary, R., J. Shah, N., Audichya, A., & Gohil, R. (2020). A Case of Retained Guidewire Spontaneous Emerging from Skin Near Right Knee 8 Months after Central Venous Catheterization. Asian Journal of Case Reports in Surgery, 3(2), 10-15. Retrieved from https://journalajcrs.com/index.php/AJCRS/article/view/30116
Case Study


Abuhasnas, Abdallahd, Urrahmanm.The forgotten guidewire: A rare complication of hemo-dialysis catheter insertion. J Clin Imaging Sci. 2011;1:40:1–3.

Brunicardi F, Brandt M, Andersen D, et al. Schwartz’s principles of surgery. New York: mcgraw-hill prof med/tech. 2010; 314–42.

Guo H, Peng F, Ueda T. Loss of the guide wire: A case report. Circ J 2006;70:1520–2.

Ruesch S, Walder B, Tramèr MR: Complications of central venous catheters: internal jugular versus subclavian access – A systematic review. Crit Care Med. 2002; 30:454–60.

Ballard DW, Reed ME, Rauchwerger AS, et al. Emergency physician perspectives on central venous catheterization in the emergency department: A survey-based study. acad emerg med. 2014;21:623–30.

Bhosale GP, Shah VR: Guide-wire embolism: A preventable complication. J Anaesth Clin Pharmacol. 2010;26(3):419–34.

Schummer W, Schummer C, Gaser E, Bartunek R: Loss of guide wire: Mishap or blunder? br j anaesth. 2002;88:144–46.

Narendra H, Baghavan KR: Guide-wire embolism during subclavian vein catheterization by seldinger technique. Indian J Crit Care Med. 2006;10(4):257–59.

Song Y, Messerlian AK, Matevosian R: A potentially hazardous complication during central venous catheterization: Lost guidewire retained in the patient. J Clin Anesth. 2012;24:221–26.

Kornbau C, Lee KC, Hughes GD, Firstenberg MS. Central line complications. Int J Crit Illn Inj Sci. 2015;5(3):170–78.

Pokharel K, Biswas BK, Tripathi M, Subedi A: Missed central venous guide wires: A systematic analysis of published case reports. Crit Care Med. 2015;43(8):1745–56.

Gunduz Y, Vatan MB, Osken A, Cakar MA: A delayed diagnosis of a retained guidewire during central venous catheterisation: A case report and review of the literature. BMJ Case Rep. 2012; 2012:bcr2012007064.

Cat BG, Guler S, Soyuduru M et al: Complete guidewire retention after femoral vein catheterization. Ann Saudi Med. 2015; 35(6):479–81.

Khasawneh FA, Smalligan RD: Guidewire-related complications during central venous catheter placement: A case report and review of the literature. Case Rep Crit Care, 2011;287261.

Mariyaselvam MZA, Catchpole KR, Menon DK et al: Preventing retained central venous catheter guidewires: A randomized controlled simulation study using a human factors approach. Anesthesiology. 2017; 127(4):658–65.

Cheddie S, Singh B: Guidewire embolism during central venous catheterization: Options in management. The Internet Journal of Surgery. 2013;30(1):1–4.

Arnous N, Adhya S, Marof B. A case of retained catheter guidewire discovered two years after central venous catheterization. The American journal of case reports. 2019;20:1427.