Central Venous Pressure Catheter (CVP) Guide Wire Loss an Uncommon Complication of Very Common Procedure and its Percutaneous Removal- A Case Report

Abstract

A 50 years old male with a history of alcoholism was admitted to the Department of Surgery. He was diagnosed with acute abdomen secondary to ileal perforation. A laparotomy was carried out, and a Central venous pressure catheter (CVP) was inserted through the right femoral approach post-operatively. The procedure was complicated by CVP guide wire loss in the femoral vein, which was embolized in all the possible ways from the Inferior Vena cava to the left subclavian vein. The patient was subtly shifted to the cardiac catheterization lab to manage this unusual common procedure complication effectively. The 8 French sheaths through the right femoral vein were passed, and the snare of the guide wire from the same right femoral vein was done with the help of a JR catheter and endovascular snare. The patient was shifted back to the surgical ward in stable condition.

Keywords

• Central venous pressure catheter
• Ileal perforation
• Laparotomy
• Subclavian vein