{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T18:53:14Z","timestamp":1781895194910,"version":"3.54.5"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T00:00:00Z","timestamp":1780963200000},"content-version":"vor","delay-in-days":8,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,6,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Complete loss of a guidewire during central venous catheterization is a rare but potentially life-threatening complication and is considered a preventable \u2018never event.\u2019 Retained guidewires mostly recognized during or shortly after the procedure, some may be stay in vascular system for a long time without detection and are associated with wide range of complications including vascular and cardiac chamber perforation. The decision to remove the guidewire through surgical or percutaneous technique should follow an individualized approach based on its location, associated complications, and the patient's clinical condition.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case summary<\/jats:title>\n                    <jats:p>A 61-year-old male presented with sharp chest and epigastric pain, initially raising suspicion of acute coronary syndrome. Chest X-ray and initial echocardiogram were unremarkable. Electrocardiogram findings and serial troponin measurements were inconclusive. During follow-up, the patient developed fever, elevated acute phase reactants, and abdominal tenderness. Given the atypical clinical presentation, emergent coronary angiography was deferred. Abdominal ultrasound showed no acute intra-abdominal pathology. Due to persistent fever and worsening abdominal symptoms, a computed tomography scan was obtained revealing a linear radiopaque object extending from the right femoral vein, perforating right atrium and ascending aorta with associated haemorrhagic pericardial effusion. Emergent surgery was performed, and guidewire was successfully removed. Retrospective imaging showed its unnoticed presence for almost nine years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Although guidewire retention is well-documented, delayed diagnosis with major vascular injury is exceedingly rare. Existing literature highlights inadequate supervision and procedural distractions as leading contributors to guidewire retention. This case underscores the long-term risk and severe consequences of retained guidewire.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytag422","type":"journal-article","created":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T11:39:31Z","timestamp":1780745971000},"source":"Crossref","is-referenced-by-count":0,"title":["The long journey of a retained guidewire, from vein to aorta leading to cardiac tamponade: a case report"],"prefix":"10.1093","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9894-3001","authenticated-orcid":false,"given":"Hazal","family":"\u00dcnl\u00fcgen\u00e7","sequence":"first","affiliation":[{"name":"Ege University Faculty of Medicine, Department of Cardiology , Kaz\u0131mdirik Mah. \u00dcniversite Cd. No: 9 Ege \u00dcniversitesi T\u0131p Fak\u00fcltesi Hastanesi Kardiyoloji Anabilim Dal\u0131 35100, Bornova, \u0130zmir ,","place":["Turkey"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7810-0624","authenticated-orcid":false,"given":"Bekir Serhat","family":"Y\u0131ld\u0131z","sequence":"additional","affiliation":[{"name":"Ege University Faculty of Medicine, Department of Cardiology , Kaz\u0131mdirik Mah. \u00dcniversite Cd. No: 9 Ege \u00dcniversitesi T\u0131p Fak\u00fcltesi Hastanesi Kardiyoloji Anabilim Dal\u0131 35100, Bornova, \u0130zmir ,","place":["Turkey"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7552-8967","authenticated-orcid":false,"given":"Emre","family":"Demir","sequence":"additional","affiliation":[{"name":"Ege University Faculty of Medicine, Department of Cardiology , Kaz\u0131mdirik Mah. \u00dcniversite Cd. 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No: 9 Ege \u00dcniversitesi T\u0131p Fak\u00fcltesi Hastanesi Kardiyoloji Anabilim Dal\u0131 35100, Bornova, \u0130zmir ,","place":["Turkey"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,6,9]]},"reference":[{"key":"2026061914132269600_ytag422-B1","first-page":"103867","article-title":"Forgotten guidewire: a case report","volume":"79","author":"Alves Ramos Diniz","year":"2022","journal-title":"Ann Med Surg (Lond)"},{"key":"2026061914132269600_ytag422-B2","doi-asserted-by":"crossref","first-page":"474","DOI":"10.1001\/jamainternmed.2023.8232","article-title":"Complication rates of central venous catheters: a systematic review and meta-analysis","volume":"184","author":"Teja","year":"2024","journal-title":"JAMA Intern Med"},{"key":"2026061914132269600_ytag422-B3","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1186\/1471-2261-13-86","article-title":"Incidence of catheter-related complications in patients with central venous or hemodialysis catheters: a health care claims database analysis","volume":"13","author":"Napalkov","year":"2013","journal-title":"BMC Cardiovasc Disord"},{"key":"2026061914132269600_ytag422-B4","doi-asserted-by":"crossref","first-page":"647","DOI":"10.1016\/j.radcr.2021.11.030","article-title":"Delayed diagnosis of a retained guidewire after bedside femoral venous catheter insertion: a preventable complication","volume":"17","author":"Almehmi","year":"2022","journal-title":"Radiol Case Rep"},{"key":"2026061914132269600_ytag422-B5","doi-asserted-by":"crossref","first-page":"888","DOI":"10.1007\/s00270-012-0488-8","article-title":"Techniques for intravascular foreign body retrieval","volume":"36","author":"Woodhouse","year":"2013","journal-title":"Cardiovasc Intervent Radiol"},{"key":"2026061914132269600_ytag422-B6","doi-asserted-by":"crossref","first-page":"25","DOI":"10.5758\/vsi.240037","article-title":"Surgical removal of a long-forgotten, retained intravascular foreign body: a case report and literature review","volume":"40","author":"Chatzelas","year":"2024","journal-title":"Vasc Specialist Int"},{"key":"2026061914132269600_ytag422-B7","doi-asserted-by":"crossref","first-page":"1745","DOI":"10.1097\/CCM.0000000000001012","article-title":"Missed central venous guide wires: a systematic analysis of published case reports","volume":"43","author":"Pokharel","year":"2015","journal-title":"Crit Care Med"},{"key":"2026061914132269600_ytag422-B8","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1177\/1129729818785051","article-title":"Materials and techniques for percutaneous retrieval of intravascular foreign bodies","volume":"20","author":"Rossi","year":"2019","journal-title":"J Vasc Access"},{"key":"2026061914132269600_ytag422-B9","doi-asserted-by":"crossref","DOI":"10.17795\/compreped-33238","article-title":"Retention of guidewire: a rare but avoidable complication of central venous catheterization","volume":"7","author":"Amit","year":"2016","journal-title":"J Compr Ped"},{"key":"2026061914132269600_ytag422-B10","doi-asserted-by":"crossref","first-page":"144","DOI":"10.1093\/bja\/88.1.144","article-title":"Loss of the guide wire: mishap or blunder?","volume":"88","author":"Schummer","year":"2002","journal-title":"Br J Anaesth"}],"container-title":["European Heart Journal - 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