Percutaneous retrieval of 20 centrally dislodged Port-A catheter fragments.
A total of 20 patients with centrally embolized Port-A catheter fragments underwent the percutaneous retrieval procedures at our hospital. The causes of the dislodgement of these catheters included bad connection between the port and catheter, angulation or distortion at the anastomosis site, severing the catheter during insertion and removal of the catheter, improper catheter position and fatigue of the catheter. Consequently, improper procedure handling by the inexperienced surgeons could be considered as the most frequent cause of embolization. The percutaneous retrieval procedures were successful in all centrally embolized fragments. Of 20 successful retrievals, 16 were performed will loop snare catheters and 4 with Dormia basket retrievers.
Liu
Juhn-Cherng
JC
Department of Radiology, Taipei Veterans General Hospital, Taipei, Taiwan.
Tseng
Hsiuo-Shan
HS
Chen
Chia-Yuen
CY
Chern
Ming-Sheng
MS
Chang
Cheng-Yen
CY
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002405:Catheterization, Central Venous / Q000295:instrumentation*; D002406:Catheterization, Peripheral / Q000295:instrumentation; D002408:Catheters, Indwelling / Q000009:adverse effects; D004868:Equipment Failure; D005260:Female; D005471:Fluoroscopy; D005548:Foreign-Body Migration / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015642:Radiology, Interventional; D014057:Tomography, X-Ray Computed