Accidentally Missed Guidewire during Insertion of a Dialysis Catheter

Abstract

Missed guidewire is a rare and potentially avoidable complication of central venous cannulation. Unsupervised insertion by trainees, distraction during insertion, and high workload may increase the risk. Simple measures such as holding onto the wire at all times until removal from the vessel, routine use of central venous catheter insertion checklist, and vigilant supervision of the trainees may help prevent missing of the guidewire.

Keywords

• Central venous cannulation
• dialysis
• missed guidewire