{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:06:05Z","timestamp":1753877165398,"version":"3.41.2"},"reference-count":5,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2025,6,18]],"date-time":"2025-06-18T00:00:00Z","timestamp":1750204800000},"content-version":"vor","delay-in-days":18,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,5,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Central venous catheterization (CVC) is an integral part of patient care in the intensive care unit. The Seldinger technique, known for its minimal invasiveness, has become the standard for CVC insertion. Despite the technique\u2019s effectiveness and safety, guide wires\u2014integral to the procedure\u2014carry risks, including a rare but serious complication: intrathoracic migration of a retained guide wire. Although the overall complication rate for CVC insertion is around 11.8%, intrathoracic migration of a guide wire has not been previously reported, underscoring its rarity and the necessity of meticulous guide wire management. We present a case series of two patients who experienced this rare complication. In the first case, a 25-year-old male developed a right hemothorax after the guide wire migrated into the thoracic cavity. In the second case, a 49-year-old female had a retained intravascular guide wire that migrated from the subclavian vein to the femoral vein, complicated by thrombosis. Both patients underwent successful retrieval and treatment through a multidisciplinary approach. These cases highlight the importance of vigilant guide wire management and prompt recognition of this potentially life-threatening complication. This case series emphasizes the need for healthcare providers to be aware of the risks associated with central venous catheterization and to adopt a multidisciplinary approach to manage these rare but serious complications.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf431","type":"journal-article","created":{"date-parts":[[2025,6,27]],"date-time":"2025-06-27T13:13:16Z","timestamp":1751029996000},"source":"Crossref","is-referenced-by-count":0,"title":["Guide wire misadventure: a duo of inadvertent intravascular migration"],"prefix":"10.1093","volume":"2025","author":[{"given":"Peter O","family":"Adeoye","sequence":"first","affiliation":[{"name":"Division of Thoracic and Cardiovascular Surgery, University of Ilorin and University of Ilorin Teaching Hospital , Oke Ose, P.M.B. 1459, Ilorin, 240001, Kwara State ,","place":["Nigeria"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Somto E","family":"Nwabueze","sequence":"additional","affiliation":[{"name":"Division of Thoracic and Cardiovascular Surgery, Department of Surgery, Federal Medical Centre , Old Akwanga Road, P.M.B. 1004, Keffi, Nasarawa State ,","place":["Nigeria"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Awodi","sequence":"additional","affiliation":[{"name":"Division of Thoracic and Cardiovascular Surgery, University of Abuja Teaching Hospital , Gwagwalada, Abuja, Federal Capital Territory, P.M.B. 228, Abuja ,","place":["Nigeria"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Denen","family":"Atsukwei","sequence":"additional","affiliation":[{"name":"Department of Radiology, Federal Medical Center , Old Akwanga Road, P.M.B 1004, Keffi, Nasarawa State ,","place":["Nigeria"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Babajide O","family":"Ayandele","sequence":"additional","affiliation":[{"name":"General Surgery Division, Department of Surgery, Federal Medical Center , Old Akwanga Road, P.M.B. 1004, Keffi, Nasarawa State ,","place":["Nigeria"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,6,18]]},"reference":[{"key":"2025062709130987700_ref1","doi-asserted-by":"publisher","first-page":"3886","DOI":"10.18203\/2320-6012.ijrms20233054","article-title":"A case report on retrieval of retained guidewire - a rare complication after central venous catheterization","volume":"11","author":"Rajyaguru","year":"2023","journal-title":"Int J Res Med Sci"},{"volume-title":"Guidewires unintentionally retained during arterial and central venous catheterization","year":"2022","author":"Williams","key":"2025062709130987700_ref2"},{"key":"2025062709130987700_ref3","doi-asserted-by":"publisher","first-page":"29","DOI":"10.1016\/j.java.2013.12.001","article-title":"Guidewires unintentionally retained during central venous catheterization","volume":"19","author":"Williams","year":"2014","journal-title":"J Assoc Vascular Access"},{"key":"2025062709130987700_ref4","doi-asserted-by":"publisher","first-page":"u209550.w3941","DOI":"10.1136\/bmjquality.u209550.w3941","article-title":"Eliminating guidewire retention during ultrasound guided central venous catheter insertion via an educational program, a modified CVC set, and a drape with reminder stickers","volume":"5","author":"Peh","year":"2016","journal-title":"BMJ Qual Improv Rep"},{"key":"2025062709130987700_ref5","doi-asserted-by":"publisher","first-page":"195","DOI":"10.1177\/17511437211069318","article-title":"A pilot study of a novel safety engineered device designed to prevent guidewire retention and reduce sharps injuries during central venous catheter insertion","volume":"24","author":"Patel","year":"2023","journal-title":"J Intensive Care Soc"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/6\/rjaf431\/63511798\/rjaf431.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/6\/rjaf431\/63511798\/rjaf431.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,27]],"date-time":"2025-06-27T13:13:17Z","timestamp":1751029997000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaf431\/8166166"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,31]]},"references-count":5,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,5,31]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaf431","relation":{},"ISSN":["2042-8812"],"issn-type":[{"type":"electronic","value":"2042-8812"}],"subject":[],"published-other":{"date-parts":[[2025,6]]},"published":{"date-parts":[[2025,5,31]]},"article-number":"rjaf431"}}