[Catheter embolisation into the pulmonary artery. Interventional therapy of a rare form of pulmonary embolism].
Embolisation of a foreign body is a rare cause of pulmonary embolism. We report on a 67 year old female suffering from colorectal cancer. To perform adjuvant chemotherapy a port system was inserted into the right subclavian vein. Routine chest radiography revealed a rupture of the venous port-system, which was embolised into the right pulmonary artery without clinical symptoms. The foreign body was removed without complications using a nitinol goose neck snare via a transfemoral approach and retrieved percutaneously. The reported procedure is safe, decreases operation and hospitalisation time and should therefore be performed in preference to surgical management whenever possible.
Steiner
S
S
Universitätsklinikum Düsseldorf, Klinik für Kardiologie, Pneumologie und Angiologie.
Schwalen
A
A
Heintzen
M P
MP
Strauer
B E
BE
D000368:Aged; D001630:Bezoars / Q000601:surgery; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D002408:Catheters, Indwelling / Q000009:adverse effects*; D015179:Colorectal Neoplasms / Q000000981:diagnostic imaging; D004868:Equipment Failure; D005260:Female; D006801:Humans; D011651:Pulmonary Artery / Q000473:pathology*; D011655:Pulmonary Embolism / Q000209:etiology* / Q000601:surgery; D011859:Radiography; D012422:Rupture, Spontaneous