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American Journal of Case Reports have been selected for the ESCI - Emerging Sources Citation Index (Thomson Reuters, Web of Science, ISI), launching in November of 2015 as a new edition of the Web of Science.

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Published: 2016-12-06

A Missing Guide Wire After Placement of Peripherally Inserted Central Venous Catheter

Muhammad Kashif, Hafiz Hashmi, Preeti Jadhav, Misbahuddin Khaja

(Division of Pulmonary and Critical Care Medicine, Department of Medicine, Bronx Lebanon Hospital Center Affiliated with Icahn School of Medicine at Mount Sinai, Bronx, NY, USA)

Am J Case Rep 2016; 17:925-928

DOI: 10.12659/AJCR.901046


BACKGROUND: Central venous catheterization is a common tool used in critically ill patients to monitor central venous pressure and administer fluids and medications such as vasopressors. Here we present a case of a missing guide wire after placement of peripherally inserted central catheter (PICC), which was incidentally picked up by bedside ultrasound in the intensive care unit. 
CASE REPORT: A 50-year-old Hispanic male was admitted to the intensive care unit for alcohol intoxication. He was managed for septic shock and required placement of a peripherally inserted central line in his left upper extremity for antibiotics and vasopressor administration. A bedside ultrasound performed by the intensivist to evaluate upper extremity swelling revealed a foreign body in the left arm. Percutaneous procedure by Interventional radiologist was required for retrieval of the guidewire.
CONCLUSIONS: Guide wire related complications are rarely reported, but are significantly associated with mortality and morbidity. The use of ultrasound guidance placement of PICC lines decreases the risk of complications, provides better optimal vein selection, and enhances success.

Keywords: Catheterization, Central Venous, Foreign Bodies, Radiography, Interventional, Ultrasonography




Published: 2016-12-05

Treatment Effectiveness of Amantadine Against Dengue Virus Infection


Chieh-Cheng Lin, Wen-Ching Chen

Am J Case Rep 2016; 17:921-924

DOI: 10.12659/AJCR.901014

Published: 2016-12-02

Three Cases of Levodopa-Resistant Parkinsonism After Radiation Therapy


Raja Mehanna, Joohi Jimenez-Shahed, Ilia Itin

Am J Case Rep 2016; 17:916-920

DOI: 10.12659/AJCR.900537