Recently central vein catheter is commonly used in most fields such as Cardiology-Cardiovascular Surgery, Emergency Service, Intensive Care Unit, Nephrology, and Oncology. Some complications might be seen like hematoma, venous thrombosis, malposition, arrhythmia, knotted catheter, infection, pneumothorax during this procedure
2,3. In addition, the guide might escape into the vessel rarely
4. In our case, inserting a emergent temporary pace-maker from right subclavian vein in patient with cardiac arrest due to acute myocardial infarction was a correct intervention, but an escaped guide-wire of subclavian catheter to the venous lumen is a unlucky complication. Dogan at al
5 reported a similar case in their study that an infected guide was taken out of body on right femoral vein exploration via venotomy. Although the guide had not been extracted with the open technique (venotomy) in our case, femoral vein thrombosis occurred after the process.
There are studies reporting extraction of a part of broken catheter in the vessel with the aid of endovascular snare6,7. Steinberg et al8 rapored that a fractured coronary stent in a saphenous vein graft extracted with snare. We performed a successful guide extraction with endovascular snare without major surgical intervention like thoracotomy or retroperitoneal approach. We think that extracting an escaped guide-wire with minimal invasive approach is a more preferable method, especially in an old patient with subacute myocardial infarction.
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