Mechanics of a stuck central venous catheter removal.
Although a surgical removal of tunneled central venous catheter is usually simple, it can become complicated when the catheter is found to be stuck because of its adherence within a central vein. If a catheter is pulled too hard, it may fracture within a central vein in two pieces. In this report, we describe the mechanics of central venous catheter breakage and provide a solution that minimizes the possibility of catheter from breaking as it is pulled out from its stuck position within a central vein.
Division of Pediatric Surgery, UCSF Benioff Children's Hospital, Oakland, CA.
Olajire
O
Idowu
Department of Surgery, University of California San Francisco- East Bay, Oakland, CA.
Jessica
J
Brown
Division of Pediatric Surgery, UCSF Benioff Children's Hospital, Oakland, CA.
Subin
S
Kim
Division of Pediatric Surgery, UCSF Benioff Children's Hospital, Oakland, CA. Electronic address: skim@mail.cho.org.
Sunghoon
S
Kim
D000328:Adult; D002405:Catheterization, Central Venous / Q000295:instrumentation*; D062905:Central Venous Catheters; D002648:Child; D020878:Device Removal / Q000379:methods*; D006801:Humans; D006435:Renal Dialysis
Central venous catheter complication; Removal of tunneled central venous catheter; Stuck central venous catheter