Transluminal Removal of a Fractured and Embolized Indwelling Central Venous Catheter in the Pulmonary Artery
نویسندگان
چکیده
Vascular catheters are associated with complications such as infection, thrombosis and stenosis. The embolization of a venous catheter fragment is a rare complication. A 39-year-old woman underwent placement of a totally implantable venous access device for chemotherapy to treat a recurrent liposarcoma of the left thigh. The "pinch-off sign" was noted on a routine chest X-ray but that was ignored. Three-months after implantation of the intravenous access device, the indwelling central catheter was fractured and embolized to the pulmonary trunk. The catheter in the pulmonary trunk was successfully removed through a percutaneous femoral vein approach using a pigtail catheter and goose neck snare.
منابع مشابه
Removal of catheter fragments from pulmonary artery using a snare.
In two patients, indwelling polyethylene catheters embolized to the pulmonary artery after being dislodged into the venous circulation during resuscitative efforts. Both were successfully extracted using a snare catheter. The use of radio-opaque material for indwelling catheters provides a valuable aid in the event of one being dislodged. The use of the snare catheter may obviate the needfor th...
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