Successful removal of an intra-pericardic Kirschner wire via fluoroscopy-guided minimal invasive approach: a case report

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2024年3月11日

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Olivier Georges,
Florence De Dominicis,
Malek Ben Rahal,
Jules Le Pessot,
Pascal Berna,
Osama Abou Arab,
Christophe Beyls

摘要

Background

Kirschner wires are widely used in trauma surgery. Their migration into the pericardium is a rare but often fatal phenomenon, requiring urgent management.

Case presentation

We describe the case of a 65-year-old patient who underwent Kirschner wire placement to treat a humeral head fracture. Three months after the operation, pleural and pericardial effusions with cardiac tamponade were observed, leading to the diagnosis of wire migration within the pericardium. A minimally invasive approach guided by fluoroscopy allowed emergency wire extraction without needing a median sternotomy. The postoperative clinical course was uncomplicated.

Conclusions

The use of pre- and per-operative multimodal imaging allowed for the safe extraction of an intra-pericardial Kirschner wire through a minimally invasive approach.