A Mislocation of Double-lumen Catheter Guidewire in Right Atrium Successfully Retrieved with Loop-wire Snaring: A Case Report

Dono Antono

Abstract


The increasing rate of central vascular access use especially for hemodialysis access in Indonesia carries risk of retention of the guidewire to the heart resulting in a condition known as heart foreign bodies. We described a case of mislocation of double-lumen catheter guidewire to the right atrium in a patient planned to perform hemodialysis. The patient complained of dyspnea and swelling of extremities but the symptoms had already appeared before the insertion of the catheter due to the patient’s underlying kidney disease arising conclusion that the foreign bodies itself are asymptomatic. The wire was found on chest x-ray and then confirmed on fluoroscopy during the retrieval procedure. Loop-wire was used to snare the guidewire. The wire was successfully evacuated and the patient was stable. The rare nature of the condition could become a challenge in recognizing the condition. Percutaneous retrieval is the preferred management of the condition.


Keywords


heart foreign bodies; double-lumen catheter guidewire; right atrium; snaring

References


Jarvis WR, Murphy C, Hall KK, et al. Health care-associated bloodstream infections associated with negative- or positive-pressure or displacement mechanical valve needleless connectors. Clin Infect Dis. 2009;49(12):1821–7.

PERNEFRI. 11th Report of Indonesia Renal Registry. PERNEFRI. 2018;

Leitman M, Vered Z. Foreign bodies in the heart. Echocardiography. 2015;32(2):365–71.

Santini F, Gatti G, Borghetti V, Oppido G, Mazzucco A. Routine left atrial catheterization for the post-operative management of cardiac surgical patients: is the risk justified? Eur J Cardiothorac Surg. 1999;16(2):218–21.

Leite TF de O, Pazinato LV, Bortolini E, Pereira OI, Nomura CH, Filho JM da ML. Endovascular Removal of Intravascular Foreign Bodies: A Single-Center Experience and Literature Review. Ann Vasc Surg. 2022;82:362–76.

Adulla M, Chan MR, Hermsen JL, Tefera G, Yevzlin AS. Stent migration and folding in the subclavian vein during subclavian hemodialysis catheter placement. Semin Dial. 2009;22(1):81–3.

Balbi M, Bertero G, Bellotti S, Rolandelli ML, Caponnetto S. Right-sided valvular endocarditis supported by an unexpected intracardiac foreign body. Chest. 1990;97(6):1486–8.

Suárez-Peñaranda JM, Guitian-Barreiro, Concheiro-Carro L. Longstanding intracardiac catheter embolism. An unusual autopsy finding. Am J Forensic Med Pathol. 1995;16(2):124–6.

Denny MA, Frank LR. Ventricular tachycardia secondary to Port-a-Cath fracture and embolization. J Emerg Med. 2003;24(1):29–34.

Gabelmann A, Kramer S, Gorich J. Percutaneous retrieval of lost or misplaced intravascular objects. AJR Am J Roentgenol. 2001;176(6):1509–13.

Lyu T, Cao S, Wang J, Song L, Tong X, Zou Y. Endovascular removal of foreign bodies: Single center experience. Indian J Surg [Internet]. 2022 Apr 18; Available from: https://doi.org/10.1007/s12262-022-03395-3

Gschwind CR. The intravenous foreign body: a report of 2 cases. J Hand Surg Am. 2002;27(2):350–4.

Song M, Wei M, Song Z, Li L, Fan J, Liu M. A foreign body in the cephalic vein: A case report. Medicine. 2018;97(25):e11144.


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