title: Tethered hemodialysis catheter with retained portions in central vein and right atrium on attempted removal.
abstract: A case of tunneled Tesio (Medcomp, Harrisburg, PA) twin hemodialysis catheters (silicone) extensively tethered subcutaneously and intravascularly is reported. Attempted removal resulted in significant portions of both catheters being retained in the superior vena cava and right atrium.
authors.affiliation: Department of Renal Medicine, Middlemore Hospital, Counties Manukau District Health, Auckland, NZ. hthein@xtra.co.nz
authors.forename: Hla
authors.initials: H
authors.lastname: Thein
authors.forename: Sharad K
authors.initials: SK
authors.lastname: Ratanjee
mesh_terms: D002404:Catheterization; D002405:Catheterization, Central Venous / Q000295:instrumentation*; D020878:Device Removal / Q000009:adverse effects; D004868:Equipment Failure; D017809:Fatal Outcome; D005260:Female; D005355:Fibrosis; D005547:Foreign Bodies; D005549:Foreign-Body Reaction / Q000209:etiology*; D016905:Gram-Negative Bacterial Infections / Q000209:etiology; D006325:Heart Atria; D006801:Humans; D007601:Jugular Veins; D007676:Kidney Failure, Chronic / Q000628:therapy; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications; D011183:Postoperative Complications / Q000209:etiology; D015641:Radiography, Interventional; D006435:Renal Dialysis / Q000295:instrumentation*; D000267:Tissue Adhesions / Q000209:etiology*