A severely agitated patient needed emergent IV access and a | Figure 1

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Internal Medicine

A severely agitated patient needed emergent IV access and a left femoral central line was placed. The theme of this case and images is the saying: "Don't let go of the guide wire ... and there goes the guide wire". Interventional radiology successfully retrieved the guide wire through the internal jugular vein with a Goose Neck snare.

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The CT shows IVC filter struts protruding beyond the walls of the IVC with a single strut projecting into the duodenum. This was confirmed with endoscopy. Patient underwent subsequent percutaneous IVC filter retrieval using a snare-over-guide wire technique. The final cavogram (Image number 6) demonstrates no extravasation with mild narrowing of the IVC seen on the preprocedure cavogram (Image number 3).

69 yo F- needed a jugular central line. You know how they say NEVER let go of your guide wire when you put in a central line? Because you don't want to lose it in the body... Subsequently removed from the femoral!!!

This is why I always check other exams before placing patients in the MRI scanner. 76 Y/O Female with broken piece of guide wire lodged in right ICA. Maybe nothing happens, maybe it does. We do not take chances.

Angio case yesterday - for education! 80 year old male with PMH T2DM, severe LV disfunction & non-healing hallux ulcer with SFA stenosis. Tried for 50 minutes to open up the SFA with no luck in the end. The picture show the guide wires bend after the procedure. Wires used were an Advantage wire, a Hydro ST and an Victory wire. The pictures of the vessels show the extend of the calcification of the SFA. Enjoy the pic.

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