Extraction of an intracardial catheter embolus using combined radiography and transesophageal echocardiography.
Embolism of a fragment of a central venous catheter is a serious clinical complication, especially when the fragment cannot be made visible by radiological methods. We report a case where such a fragment could only be localized by transesophageal echocardiography (TEE). With combined use of x-rays and TEE, the catheter embolus was successfully extracted using a conventional Dormia catheter. For similar situations the described procedure is recommended.
Neumann
H P
HP
Medical Clinic, University of Freiburg, Freiburg im Breisgau, Federal Republic of Germany.
Hofmann
T
T
Koester
W
W
Billmann
P
P
Kauffmann
G W
GW
D000328:Adult; D002408:Catheters, Indwelling; D004452:Echocardiography / Q000295:instrumentation*; D004617:Embolism / Q000628:therapy*; D005260:Female; D005547:Foreign Bodies / Q000628:therapy*; D005548:Foreign-Body Migration / Q000628:therapy*; D006325:Heart Atria / Q000000981:diagnostic imaging; D006801:Humans; D007260:Infusion Pumps; D011859:Radiography