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Case Report

Covid-19 and the Recovery of a Lost Guidewire

Juan Guzmán Olea, MD, Gonzalo Tolosa Dzul, MD, Miguel A. Rojas Carrera, MD, Gabriel Guzmán Olea, MD

Interventional Cardiology Department, Hospital de Especialidades General de División Manuel Ávila Camacho, Centro Médico Nacional, Puebla, Instituto Mexicano del Seguro Social, Mexico

July 2020

This case involves a 59-year-old male with a diagnosis of SARS-CoV-2-confirmed atypical pneumonia (Covid-19) under invasive mechanical ventilation, vasopressor support with norepinephrine, and hemodynamic surveillance with an arterial line located in the right femoral artery and a central venous catheter located in the right femoral vein. He presented with acute kidney injury. It was decided to substitute treatment for kidney function with continuous renal replacement therapy, so a hemodialysis catheter was placed for left femoral venous access; however, during its placement, there was an accidental migration of the guidewire. Guidewire recovery was requested of the interventional cardiology department. 

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