Hemodialysis catheter tip embolization in the right pulmonary vasculature: report of a cardiac arrest.
A 44 year old woman on hemodialysis presented a sudden cardiorespiratory arrest at the end of an otherwise uneventful dialysis session. It occurred while disconnecting the circuit from her tunneled catheter. She was reanimated and then transferred to the intensive care unit; the endotracheal intubation had been difficult, and she had been severely hypoxic. It was noted that the external venous clamp of the tunneled catheter was broken and the hypothesis of a break during the reanimation process was entertained. The routine chest x-ray postintubation showed that the tip of the catheter was ruptured and visible in one branch of the right pulmonary artery. The catheter was changed over a guide wire, and the broken catheter was sent for analysis to the manufacturer. A selective angiography of the right pulmonary artery was performed with the purpose of removing the fractured catheter tip but was unsuccessful. The patient recovered neurologic function slowly over the next 4 months. The exact etiology of the arrest remains incompletely understood; it is unknown whether it was caused by the catheter tip embolization or if an air embolism occurred.
Raymond-Carrier
Stéphanie
S
Division of Nephrology, Maisonneuve-Rosemont Hospital, University of Montreal, Canada.
Dubé
Michel
M
Nolin
Linda
L
Ouimet
Denis
D
Leblanc
Martine
M
D000328:Adult; D002408:Catheters, Indwelling / Q000009:adverse effects*; D004868:Equipment Failure; D005260:Female; D006323:Heart Arrest / Q000209:etiology*; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy*; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging / Q000209:etiology*; D011877:Radionuclide Imaging; D006435:Renal Dialysis / Q000009:adverse effects*