Spontaneous separation and migration of a metal splice segment of a repaired Hickman catheter.
Repairs to the external silicone central venous catheter segment are done to correct mechanical defects caused by natural wear and tear or traumatic catheter injury. The ability to repair a damaged catheter obviates the need for surgical replacement. Complications specific to repaired Hickman catheters have not been reported. We report a case in which the metal piece separated from the replacement segment of a Hickman catheter. This metal piece lodged 1 cm from the catheter entrance to the anterior chest and caused incomplete catheter occlusion.
Division of Gastroenterology and Internal Medicine, Mayo Clinic, Rochester, Minnesota 55905.
J U
JU
Burnes
D G
DG
Kelly
D002405:Catheterization, Central Venous / Q000009:adverse effects* / Q000295:instrumentation*; D002408:Catheters, Indwelling / Q000009:adverse effects; D004868:Equipment Failure; D005260:Female; D005548:Foreign-Body Migration / Q000150:complications*; D006801:Humans; D008875:Middle Aged; D016331:Parenteral Nutrition, Home / Q000009:adverse effects* / Q000295:instrumentation*