Intravenous loss of over-the-wire catheter guidewires in 13 horses.
Abstract: Over-the-wire (OTW) catheter placement is performed frequently in horses. Intravascular loss of a guidewire has been anecdotally reported, but there is limited information regarding the treatment and outcome of horses that have experienced this complication of OTW catheter placement. Objective: Describe the clinical and diagnostic features, treatment, and outcome of horses experiencing IV guidewire loss at the time of OTW catheter placement. Methods: Thirteen horses. Methods: Multicenter retrospective study to identify horses with IV guidewire loss. Horses of all ages were considered for inclusion. Horses were excluded from the study if complete medical records of signalment, indication, and outcome were not available. Intravenous guidewire loss was defined as the guidewire being lost IV at the time of OTW catheter placement. Results: No horses in this study experienced adverse clinical signs associated with the loss of a guidewire. Eight horses had the guidewire removed and the guidewire was left in situ in 5 horses. None of the horses with the guidewire in situ had experienced long-term effects. Conclusions: Intravenous guidewire loss seems to have a good long-term prognosis even in horses in which removal of the guidewire was not possible. Thus, in horses where guidewire removal is not feasible, guidewires that remain in situ may have limited to no adverse effects.
© 2023 The Authors. Journal of Veterinary Internal Medicine published by Wiley Periodicals LLC on behalf of American College of Veterinary Internal Medicine.
Publication Date: 2023-12-14 PubMed ID: 38095356DOI: 10.1111/jvim.16960Google Scholar: Lookup
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Summary
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This research discusses the complications and effects in horses resulting from the accidental loss of a guidewire during the placement procedure of over-the-wire catheters, concluding that the horses had a favourable long-term prognosis, even if the guidewire wasn’t removed.
Study Purpose
- The main goal of this research was to study the issues, treatment, and outcomes for horses that have experienced the loss of intravenous (IV) guidewires during over-the-wire (OTW) catheter placement. This kind of catheter placement is common in horses, and the loss of a guidewire has been reported occasionally before.
Methodology
- The study was carried out retrospectively across multiple centres, aiming to identify horses that had suffered from IV guidewire loss. All ages of horses were included in the study.
- The researchers excluded cases where complete medical records, including the horse’s data, the reason for catheter placement, and their outcomes were not available.
- The loss of the IV guidewire was strictly defined as instances where the guidewire was lost in the vein during OTW catheter placement.
Results
- The results of this study showed that none of the horses experienced any adverse clinical symptoms related to the loss of a guidewire.
- Among 13 horses, eight had the lost guidewire successfully removed. However, in five horses, the guidewire was left as it is.
- No long-term adverse effects were noted in the horses which had the guidewire left in situ.
Conclusion
- The study concluded that loss of an IV guidewire during OTW catheter placement in horses seems to exhibit a good long-term prognosis, even in cases where it was impossible to retrieve the lost guidewire.
- As such, the presence of a guidewire left in situ potentially carries minimal to no adverse side effects, which might indicate a lack of necessity for removal where the removal procedure would not be feasible.
Cite This Article
APA
Hobbs KJ, Young KAS, Nannarone S, Luethy D, Hopster-Iversen C, McKenzie HC, Ludwig EK.
(2023).
Intravenous loss of over-the-wire catheter guidewires in 13 horses.
J Vet Intern Med.
https://doi.org/10.1111/jvim.16960 Publication
Researcher Affiliations
- Department of Large Animal Clinical Sciences, North Carolina State University College of Veterinary Medicine, Raleigh, North Carolina, USA.
- Department of Large Animal Clinical Sciences, North Carolina State University College of Veterinary Medicine, Raleigh, North Carolina, USA.
- Department of Veterinary Medicine, University of Perugia, Perugia, Italy.
- Department of Large Animal Clinical Sciences, University of Florida College of Veterinary Medicine, Gainesville, Florida, USA.
- Department of Veterinary Clinical Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Taastrup, Denmark.
- Department of Large Animal Clinical Sciences, Virginia Maryland College of Veterinary Medicine, Blacksburg, Virginia, USA.
- Department of Large Animal Clinical Sciences, North Carolina State University College of Veterinary Medicine, Raleigh, North Carolina, USA.
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This article includes 13 references
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