Radiologic Interventional Retrieval of Retained Central Venous Catheter Fragment in Prematurity: Case Report.
10.3348/jkrs.2007.57.6.519
- Author:
Jee Won PARK
1
;
Jung Hyun JO
;
Byeong Ho PARK
Author Information
1. Department of Diagnostic Radiology, College of Medicine, Dong-A University, Korea.
- Publication Type:Case Report
- Keywords:
Premature infant;
Indwelling catheters;
Equipment failure;
Central venous catheterization;
Catheter ablation
- MeSH:
Catheter Ablation;
Catheterization, Central Venous;
Catheters;
Catheters, Indwelling;
Central Venous Catheters*;
Contrast Media;
Embolism, Air;
Equipment Failure;
Humans;
Infant, Newborn;
Infant, Premature
- From:Journal of the Korean Radiological Society
2007;57(6):519-523
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The fracture of a central venous catheter is a rare but potentially serious complication. Moreover, removal of the broken catheter pieces is considerably challenging, especially for premature infants. We report 3 case studies of the percutaneous transcatheter retrieval of broken catheter parts in 3 premature infants. We confirmed the location of the catheter fragments via a DSA venogram with diluted contrast media. Using the minimum amount of contrast, and extreme caution, we made certain no contrast-induced nephrotoxicity or air embolism occured during catheter manipulation. In addition, when the broken fragment was curled or attached to the cardiac wall, we used a hook-shaped catheter to facilitate the capturing of the catheter with a loopsnare. This report demonstrates the feasibility of removing a retained catheter fragment in a premature infant using a percutaneous transcatheter approach.
