Fracture and cardiac migration of an implanted venous catheter

Maryam Sattari, Amir Kazory, Robert A. Phillips

Research output: Contribution to journalArticle

Abstract

Objective: Distal embolization of a fractured indwelling central catheter is a rare life-threatening complication. Interventional radiologic techniques are often successfully used to retrieve the fractured tip but in rare cases, a surgical intervention is needed. Methods: We present a case in which radiologic methods failed to remove the embolized fragment because of multiple venous occlusions, and a cardiotomy was finally necessary. Results: After right atriotomy, the fractured embolized tip was successfully removed, as well as the proximal portion. Conclusions: Implanted catheters should be removed after completion of treatment, or the integrity of the system should be monitored on a regular basis.

Original languageEnglish (US)
Pages (from-to)532-533
Number of pages2
JournalInteractive cardiovascular and thoracic surgery
Volume2
Issue number4
DOIs
StatePublished - Dec 1 2003

Keywords

  • Catheter fracture
  • Embolization
  • Port-a-cath
  • Venous access device

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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