Transluminal removal of a fractured and embolized indwelling central venous catheter in the pulmonary artery.
Vascular catheters are associated with complications such as infection, thrombosis and stenosis. The embolization of a venous catheter fragment is a rare complication. A 39-year-old woman underwent placement of a totally implantable venous access device for chemotherapy to treat a recurrent liposarcoma of the left thigh. The "pinch-off sign" was noted on a routine chest X-ray but that was ignored. Three-months after implantation of the intravenous access device, the indwelling central catheter was fractured and embolized to the pulmonary trunk. The catheter in the pulmonary trunk was successfully removed through a percutaneous femoral vein approach using a pigtail catheter and goose neck snare.
Kim
O Kil
OK
Department of Internal Medicine, Kosin University Gospel Hospital, Busan, Korea.
Kim
Su Hong
SH
Kim
Jong Bin
JB
Jeon
Woo Seong
WS
Jo
Sung Hwan
SH
Lee
Jee Hyun
JH
Ko
Ji Ho
JH
D000328:Adult; D002405:Catheterization, Central Venous / Q000009:adverse effects* / Q000295:instrumentation; D002408:Catheters, Indwelling / Q000009:adverse effects*; D004617:Embolism / Q000209:etiology* / Q000601:surgery; D004868:Equipment Failure; D005260:Female; D005548:Foreign-Body Migration / Q000150:complications* / Q000601:surgery; D006801:Humans; D008080:Liposarcoma / Q000188:drug therapy; D011651:Pulmonary Artery / Q000293:injuries* / Q000601:surgery; D013848:Thigh / Q000473:pathology