J Clin Anesth 2012 May 9;24(3):221-6. Epub 2012 Apr 9.
Stanford University School of Medicine, Stanford, CA 94305, USA.
Guidewires are routinely used in the Seldinger technique during central venous catheter placement. A case in which a guidewire was unsuspectingly released and retained in a patient during the catheterization of the internal jugular vein is presented. Physicians from multiple services subsequently failed to detect the retained guidewire on several chest radiographs; however, the guidewire was incidentally discovered after a computed tomographic scan was obtained.