TY - JOUR
T1 - Retained Fractured Fragment of A Central Venous Catheter
T2 - A Minimally Invasive Approach to Safe Retrieval
AU - Hamad, Mohammed
AU - Rajan, Reynu
AU - Kosai, Nik
AU - Sutton, Paul
AU - Das, Srijit
AU - Harunarashid, Hanafiah
PY - 2016/1/1
Y1 - 2016/1/1
N2 - BACKGROUND: Complication following fracture of a central venous catheter can be catastrophic to both the patient and the attending doctor. Catheter fracture has been attributed to several factors namely prolong mechanical force acting on the catheter, and forceful removal or insertion of the catheter.CASE DETAILS: In the present case, the fracture was suspected during the process of removal. The tip of the catheter was notably missing, and an emergency chest radiograph confirmed our diagnosis of a retained fracture of central venous catheter. The retained portion was removed by the interventional radiologist using an endovascular loop snare and delivered through a femoral vein venotomy performed by the surgeon.CONCLUSION: Endovascular approach to retrieval of retained fractured catheters has helped tremendously to reduce associated morbidity and the need for major surgery. The role of surgery has become limited to instances of failed endovascular retrieval and in remote geographical locations devoid of such specialty.
AB - BACKGROUND: Complication following fracture of a central venous catheter can be catastrophic to both the patient and the attending doctor. Catheter fracture has been attributed to several factors namely prolong mechanical force acting on the catheter, and forceful removal or insertion of the catheter.CASE DETAILS: In the present case, the fracture was suspected during the process of removal. The tip of the catheter was notably missing, and an emergency chest radiograph confirmed our diagnosis of a retained fracture of central venous catheter. The retained portion was removed by the interventional radiologist using an endovascular loop snare and delivered through a femoral vein venotomy performed by the surgeon.CONCLUSION: Endovascular approach to retrieval of retained fractured catheters has helped tremendously to reduce associated morbidity and the need for major surgery. The role of surgery has become limited to instances of failed endovascular retrieval and in remote geographical locations devoid of such specialty.
KW - Central venous catheter
KW - endovascular
KW - fracture
KW - interventional radiology
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U2 - 10.4314/ejhs.v26i1.14
DO - 10.4314/ejhs.v26i1.14
M3 - Article
C2 - 26949321
AN - SCOPUS:85012820560
SN - 1029-1857
VL - 26
SP - 85
EP - 88
JO - Ethiopian journal of health sciences
JF - Ethiopian journal of health sciences
IS - 1
ER -