Migration of an Intravenous Wire Guide in a Young Polytraumatized Patient

Abstract

The placement of a central venous catheter is a life-saving gesture with multiple indications but it can be the cause of several complications including the migration of the metallic guide, in which we present a case that occurred in a 30-year-old patient; admitted to the emergency department for polytrauma following a road traffic accident. She benefited from the placement of a left femoral venous catheter for emergency intensive care; there was the migration of the guide wire during the insertion of the catheter. A control X-ray shows the presence of the guide wire from the inferior vena cava to the right internal jugular vein. Surgery was indicated employing a mini approach to the internal jugular vein to extract the guide.