{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T23:09:15Z","timestamp":1776380955256,"version":"3.51.2"},"reference-count":24,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T00:00:00Z","timestamp":1773100800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T00:00:00Z","timestamp":1776384000000},"content-version":"vor","delay-in-days":38,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Patient Saf Surg"],"DOI":"10.1186\/s13037-026-00480-4","type":"journal-article","created":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T09:36:30Z","timestamp":1773135390000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Inadvertent guidewire retention after radial artery cannulation: report of two cases and safety lessons for vascular access practice"],"prefix":"10.1186","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4703-0832","authenticated-orcid":false,"given":"Leopoldo Muniz","family":"da Silva","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rafael Souza Fava","family":"Nersessian","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saullo Queiroz","family":"Silveira","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helidea","family":"de Oliveira Lima","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Glenio B.","family":"Mizubuti","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2026,3,10]]},"reference":[{"key":"480_CR1","doi-asserted-by":"publisher","first-page":"1381","DOI":"10.1111\/anae.16727","volume":"80","author":"AJ Johnston","year":"2025","unstructured":"Johnston AJ, Simpson MJ, McCormack V, Barton A, Bennett J, Chalisey A, et al. Association of anaesthetists guidelines: safe vascular access 2025. Anaesthesia. 2025;80:1381\u201396. https:\/\/doi.org\/10.1111\/anae.16727.","journal-title":"Anaesthesia"},{"key":"480_CR2","doi-asserted-by":"publisher","first-page":"173","DOI":"10.1016\/j.bjae.2024.12.003","volume":"25","author":"EC Walsh","year":"2025","unstructured":"Walsh EC, Srivastava SD, Fitzsimons MG. Prevention and management of complications associated with arterial catheters. BJA Educ. 2025;25:173\u201380. https:\/\/doi.org\/10.1016\/j.bjae.2024.12.003.","journal-title":"BJA Educ"},{"key":"480_CR3","doi-asserted-by":"publisher","first-page":"1123","DOI":"10.1056\/NEJMra011883","volume":"348","author":"DC McGee","year":"2003","unstructured":"McGee DC, Gould MK. Preventing Complications of Central Venous Catheterization. N Engl J Med. 2003;348:1123\u201333. https:\/\/doi.org\/10.1056\/NEJMra011883.","journal-title":"N Engl J Med"},{"key":"480_CR4","doi-asserted-by":"publisher","first-page":"613","DOI":"10.1590\/1806-9282.63.07.613","volume":"63","author":"PH Comerlato","year":"2017","unstructured":"Comerlato PH, Rebelatto TF, Santiago de Almeida FA, Klein LB, Boniatti MM, Schaan BD, et al. Complications of central venous catheter insertion in a teaching hospital. Rev Assoc Med Bras. 2017;63:613\u201320. https:\/\/doi.org\/10.1590\/1806-9282.63.07.613.","journal-title":"Rev Assoc Med Bras"},{"key":"480_CR5","doi-asserted-by":"publisher","first-page":"517","DOI":"10.1186\/s13054-025-05760-6","volume":"29","author":"T Ghatak","year":"2025","unstructured":"Ghatak T. Guidewire trap: a novel, frugal safety device to prevent guidewire loss during central venous cannulation. Crit Care. 2025;29:517. https:\/\/doi.org\/10.1186\/s13054-025-05760-6.","journal-title":"Crit Care"},{"key":"480_CR6","doi-asserted-by":"publisher","DOI":"10.1097\/PTS.0000000000001399","author":"MZA Mariyaselvam","year":"2025","unstructured":"Mariyaselvam MZA, Wright AAC, Young PJ, Catchpole KR, Greatorex J, Gupta AK. Retained Central Venous Catheter Guidewires: Interviews With Clinicians Who Have Made the Error. J Patient Saf. 2025. https:\/\/doi.org\/10.1097\/PTS.0000000000001399.","journal-title":"J Patient Saf"},{"key":"480_CR7","doi-asserted-by":"publisher","first-page":"e0834","DOI":"10.1097\/CCE.0000000000000834","volume":"5","author":"N Kassis","year":"2023","unstructured":"Kassis N, Alkukhun L, Kravitz K, Miclea C, Gill A, Udeh CI, et al. Patient, Operator, and Procedural Characteristics of Guidewire Retention as a Complication of Vascular Catheter Insertion. Crit Care Explor. 2023;5:e0834. https:\/\/doi.org\/10.1097\/CCE.0000000000000834.","journal-title":"Crit Care Explor"},{"key":"480_CR8","doi-asserted-by":"publisher","first-page":"15","DOI":"10.1186\/s13037-023-00366-9","volume":"17","author":"D Schwappach","year":"2023","unstructured":"Schwappach D, Pfeiffer Y. Root causes and preventability of unintentionally retained foreign objects after surgery: a national expert survey from Switzerland. Patient Saf Surg. 2023;17:15. https:\/\/doi.org\/10.1186\/s13037-023-00366-9.","journal-title":"Patient Saf Surg"},{"key":"480_CR9","doi-asserted-by":"publisher","first-page":"165","DOI":"10.1177\/11297298211023274","volume":"24","author":"M Pittiruti","year":"2023","unstructured":"Pittiruti M, Van Boxtel T, Scoppettuolo G, Carr P, Konstantinou E, Ortiz Miluy G, et al. European recommendations on the proper indication and use of peripheral venous access devices (the ERPIUP consensus): A WoCoVA project. J Vasc Access. 2023;24:165\u201382. https:\/\/doi.org\/10.1177\/11297298211023274.","journal-title":"J Vasc Access"},{"key":"480_CR10","doi-asserted-by":"publisher","first-page":"144","DOI":"10.1093\/bja\/88.1.144","volume":"88","author":"W Schummer","year":"2002","unstructured":"Schummer W, Schummer C, Gaser E, Bartunek R. Loss of the guide wire: mishap or blunder? Br J Anaesth. 2002;88:144\u20136. https:\/\/doi.org\/10.1093\/bja\/88.1.144.","journal-title":"Br J Anaesth"},{"key":"480_CR11","doi-asserted-by":"publisher","unstructured":"Ferraz-Torres M, Diez-Revilla A, Plaza-Unzue R, Corcuera-Martinez MI. Analysis of complications associated with peripherally inserted central venous catheters. Prospective observational study. Rev Cuidarte. 2024;15. https:\/\/doi.org\/10.15649\/cuidarte.3352.","DOI":"10.15649\/cuidarte.3352"},{"key":"480_CR12","doi-asserted-by":"publisher","first-page":"1745","DOI":"10.1097\/CCM.0000000000001012","volume":"43","author":"K Pokharel","year":"2015","unstructured":"Pokharel K, Biswas BK, Tripathi M, Subedi A. Missed Central Venous Guide Wires. Crit Care Med. 2015;43:1745\u201356. https:\/\/doi.org\/10.1097\/CCM.0000000000001012.","journal-title":"Crit Care Med"},{"key":"480_CR13","doi-asserted-by":"publisher","first-page":"e387","DOI":"10.1097\/PTS.0000000000000826","volume":"18","author":"MZA Mariyaselvam","year":"2022","unstructured":"Mariyaselvam MZA, Patel V, Young HE, Blunt MC, Young PJ. Central Venous Catheter Guidewire Retention: Lessons From England\u2019s Never Event Database. J Patient Saf. 2022;18:e387\u201392. https:\/\/doi.org\/10.1097\/PTS.0000000000000826.","journal-title":"J Patient Saf"},{"key":"480_CR14","doi-asserted-by":"publisher","first-page":"377","DOI":"10.4329\/wjr.v2.i10.377","volume":"2","author":"A Pinto","year":"2010","unstructured":"Pinto A. Spectrum of diagnostic errors in radiology. World J Radiol. 2010;2:377. https:\/\/doi.org\/10.4329\/wjr.v2.i10.377.","journal-title":"World J Radiol"},{"key":"480_CR15","doi-asserted-by":"publisher","first-page":"658","DOI":"10.1197\/j.aem.2005.02.014","volume":"12","author":"TE Lum","year":"2005","unstructured":"Lum TE. Profiles in Patient Safety: Misplaced Femoral Line Guidewire and Multiple Failures to Detect the Foreign Body on Chest Radiography. Acad Emerg Med. 2005;12:658\u201362. https:\/\/doi.org\/10.1197\/j.aem.2005.02.014.","journal-title":"Acad Emerg Med"},{"key":"480_CR16","doi-asserted-by":"publisher","first-page":"1229","DOI":"10.1007\/s12630-024-02788-0","volume":"71","author":"GB Mizubuti","year":"2024","unstructured":"Mizubuti GB, e Lima LHN, e Lima RM, Ho AK, de C\u00e1ssia Rodrigues R, Cagnolati DC, et al. Identifying intraoperative events in a simulated laparotomy video: a multinational study of inattentional blindness among anesthesiologists. Can J Anaesth. 2024;71:1229\u201337. https:\/\/doi.org\/10.1007\/s12630-024-02788-0.","journal-title":"Can J Anaesth"},{"key":"480_CR17","doi-asserted-by":"publisher","first-page":"36","DOI":"10.1016\/j.jclinane.2017.07.015","volume":"42","author":"AM-H Ho","year":"2017","unstructured":"Ho AM-H, Leung JYC, Mizubuti GB, Contardi LH, Chan MTV, Lo TSF, et al. Inattentional blindness in anesthesiology: A simulation study. J Clin Anesth. 2017;42:36\u20139. https:\/\/doi.org\/10.1016\/j.jclinane.2017.07.015.","journal-title":"J Clin Anesth"},{"key":"480_CR18","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1186\/s13037-025-00474-8","volume":"20","author":"D Parmar","year":"2026","unstructured":"Parmar D, Patel N, Kenneth-Ogah C, Yazdouni S, Desai C, Raveshia D, et al. Root causes of surgical never-events: a systematic review. Patient Saf Surg. 2026;20:3. https:\/\/doi.org\/10.1186\/s13037-025-00474-8.","journal-title":"Patient Saf Surg"},{"key":"480_CR19","doi-asserted-by":"publisher","first-page":"104181","DOI":"10.1016\/j.jaccas.2025.104181","volume":"30","author":"S McGrath","year":"2025","unstructured":"McGrath S, Bagnall T, Pegge N, Hildick-Smith D. The Secret Life of a Lost Guidewire. JACC Case Rep. 2025;30:104181. https:\/\/doi.org\/10.1016\/j.jaccas.2025.104181.","journal-title":"JACC Case Rep"},{"key":"480_CR20","doi-asserted-by":"publisher","first-page":"1259","DOI":"10.2214\/ajr.164.5.7717243","volume":"164","author":"TK Egglin","year":"1995","unstructured":"Egglin TK, Dickey KW, Rosenblatt M, Pollak JS. Retrieval of intravascular foreign bodies: experience in 32 cases. AJR Am J Roentgenol. 1995;164:1259\u201364. https:\/\/doi.org\/10.2214\/ajr.164.5.7717243.","journal-title":"AJR Am J Roentgenol"},{"key":"480_CR21","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.94977","author":"S Bertrand","year":"2025","unstructured":"Bertrand S, Landsweerdt S, Leroux A, Flament J. Retained Guidewire Penetrating the Spinal Cord: An Unusual Cause of Cervicobrachialgia. Cureus. 2025. https:\/\/doi.org\/10.7759\/cureus.94977.","journal-title":"Cureus"},{"key":"480_CR22","doi-asserted-by":"publisher","first-page":"24","DOI":"10.1186\/s13037-024-00406-y","volume":"18","author":"ES Deol","year":"2024","unstructured":"Deol ES, Henning G, Basourakos S, Vasdev RMS, Sharma V, Kavoussi NL, et al. Artificial intelligence model for automated surgical instrument detection and counting: an experimental proof-of-concept study. Patient Saf Surg. 2024;18:24. https:\/\/doi.org\/10.1186\/s13037-024-00406-y.","journal-title":"Patient Saf Surg"},{"key":"480_CR23","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1186\/s13037-025-00432-4","volume":"19","author":"OI Hajjaj","year":"2025","unstructured":"Hajjaj OI, Zaslow J, Sherif R, El, H\u00e9roux DL, Mimeault RE, Fortier JH, et al. Wrong-site, wrong-procedure, and retained foreign object events in out-of-hospital settings: analysis of closed medico-legal complaints in Canada (2012\u20132021). Patient Saf Surg. 2025;19:11. https:\/\/doi.org\/10.1186\/s13037-025-00432-4.","journal-title":"Patient Saf Surg"},{"key":"480_CR24","doi-asserted-by":"publisher","first-page":"1439","DOI":"10.1177\/11297298241291248","volume":"26","author":"M van Rens","year":"2025","unstructured":"van Rens M, van der Lee R, Spencer TR, van Boxtel T, Barone G, Crocoli A, et al. The NAVIGATE project: A GloVANet\u2013WoCoVA position statement on the nomenclature for vascular access devices. J Vasc Access. 2025;26:1439\u201346. https:\/\/doi.org\/10.1177\/11297298241291248.","journal-title":"J Vasc Access"}],"container-title":["Patient Safety in Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13037-026-00480-4","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13037-026-00480-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13037-026-00480-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T22:29:49Z","timestamp":1776378589000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1186\/s13037-026-00480-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,10]]},"references-count":24,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["480"],"URL":"https:\/\/doi.org\/10.1186\/s13037-026-00480-4","relation":{},"ISSN":["1754-9493"],"issn-type":[{"value":"1754-9493","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,10]]},"assertion":[{"value":"23 January 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"5 March 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 March 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This investigation was approved by the Hospital S\u00e3o Luiz & Rede D\u00b4Or and Affiliated Teaching Hospitals Research Ethics Committee (Protocol # 6.078.534; CAAE: 69717723.2.0000.0087). The patients have provided their informed consent for the use of their clinical encounters in this case report.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent for publication of the case report and associated images and clinical information was obtained from both patients presented in this paper and is available to the journal\u2019s Editor-in-Chief upon request.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"This study did not receive or require any funding sources. The authors have no commercial or non-commercial affiliations representing potential conflicts of interest, nor do they have any associations with consultancies of any type.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Disclosure"}},{"value":"The authors declare no competing interests.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"14"}}