A stuck hemodialysis central venous catheter.
BACKGROUND
A growing number of hemodialysis patients are dependent upon central venous catheters (CVCs) for long-term vascular access. Although many complications of CVCs have been documented, the phenomenon of the stuck catheter is described relatively infrequently.


METHODS
We describe a case where attempts to remove the line by exploration of the jugular insertion site in theater were unsuccessful and the line was internalized.


CONCLUSIONS
The case is then discussed with all available cases in the literature to suggest principles of managing and preventing the stuck catheter phenomenon.
Field
M
M
Department of Vascular and General Surgery, University Hospital North Staffordshire, The Medical School, Keele University, Stoke-on-Trent, UK. melfield@doctors.org.uk
Pugh
J
J
Asquith
J
J
Davies
S
S
Pherwani
A D
AD
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D055499:Catheter-Related Infections / Q000209:etiology; D002405:Catheterization, Central Venous / Q000009:adverse effects* / Q000295:instrumentation; D002408:Catheters, Indwelling / Q000009:adverse effects; D020878:Device Removal; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007601:Jugular Veins / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D006435:Renal Dialysis; D018805:Sepsis / Q000209:etiology; D017211:Treatment Failure; D014656:Vascular Surgical Procedures; D055815:Young Adult