title: Transcutaneous removal of an intravenous catheter fragment using a spider FX™ Embolic Protection device.
abstract: Long-term use of intravenous catheters can lead to catheter fracture and embolization of fragments. Transcutaneous retrieval of these catheter fragments can be challenging because of their fragility. We report an 8-year-old boy with Hemophilia disease who underwent removal of intravenous Port catheter after 7 years of use, resulting in embolization of fractured catheter fragments into the distal pulmonary arteries. The snare technique to pull the snared fragment into a sheath was unsuccessful, and it leads to further breakdown due to its fragility. An alternative technique using a combination of a snare kit and a Spider FX™ Embolic Protection Device was employed. This technique allowed the fragments to be secured proximally with the basket device and distally with the snare. The unit was then pulled through a sheath and removed from the body. To our knowledge, Spider FX™ Device has not been used in this way before.
authors.affiliation: Division of Pediatric Cardiology, Children's Hospital of Michigan, Carman and Ann Adams Department of Pediatrics, Wayne State University School of Medicine, Detroit, Michigan.
authors.forename: Heather
authors.initials: H
authors.lastname: Sowinski
authors.affiliation: Division of Pediatric Cardiology, Children's Hospital of Michigan, Carman and Ann Adams Department of Pediatrics, Wayne State University School of Medicine, Detroit, Michigan.
authors.forename: Daisuke
authors.initials: D
authors.lastname: Kobayashi
authors.affiliation: Division of Pediatric Cardiology, Children's Hospital of Michigan, Carman and Ann Adams Department of Pediatrics, Wayne State University School of Medicine, Detroit, Michigan.
authors.forename: Daniel R
authors.initials: DR
authors.lastname: Turner
mesh_terms: D002405:Catheterization, Central Venous / Q000009:adverse effects*; D002408:Catheters, Indwelling / Q000009:adverse effects*; D002648:Child; D020878:Device Removal / Q000379:methods*; D057505:Embolic Protection Devices; D005548:Foreign-Body Migration / Q000628:therapy*; D006467:Hemophilia A / Q000188:drug therapy; D006801:Humans; D008297:Male
keywords: catheter embolization; embolic protection device; pediatric intervention; removal of foreign body; spider FX™