![]() The findings had shown mild non-occlusive coronary artery disease. These previous medical records showed that about two years previously, he had undergone left heart catheterization for recurrent chest pain, with a right femoral central venous catheter placement, which was accessed through the right inguinal area. The patient’s medical records from the other institution were obtained. He also has a history of hypertension and osteoarthritis and smoked a pack of cigarettes every two days since his teens, drank two beers a day, and frequently used marijuana. Two years previously, cardiac catheterization had been performed at a different institution in another state, without the placement of any stents. The patient had a past medical history of coronary artery disease (CAD). He started to pull it out and managed to retrieve part of the wire out (about 20 cm), until he felt some resistance and then decided to attend the emergency department. However, when he applied pressure, a foreign body resembling a wire emerged through the skin of the medial side of the right knee. He stated he had felt a hard object under his skin, which he initially thought was a hard vein. We report a rare and unusual presentation of a retained guide-wire that was detected by the patient as it protruded outside the body through the skin of right knee area, two years after placement of a right femoral central venous catheter.Ī 52-year-old African American man presented with pain and swelling in his right knee for two weeks. It is extremely rare to for the guidewire to be discovered protruding externally at a time when the wire has punctured through the vein wall and the overlying skin. In rare cases, when the guide-wire has been retained long after the procedure, it is identified on X-ray or other imaging modalities. However, the vast majority of cases are identified immediately, during, or shortly after the procedure. ![]() Guidewire retention is a rare, but recognized complication of all intravascular interventions. Intravascular catheterization can be associated with complications that include arterial puncture, bleeding and hematoma formation, pneumothorax, and infection. The main indications for intravascular catheterization included hemodynamic monitoring, fluid and drug administration, parenteral nutrition, and hemodialysis. The use of intravascular interventions, including the use of central venous catheters, has been increasing over time.
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