Transluminal Removal of a Fractured and Embolized Indwelling Central Venous Catheter in the Pulmonary Artery.
10.3904/kjim.2006.21.3.187
- Author:
O Kil KIM
1
;
Su Hong KIM
;
Jong Bin KIM
;
Woo Seong JEON
;
Sung Hwan JO
;
Jee Hyun LEE
;
Ji Ho KO
Author Information
1. Department of Internal Medicine, Kosin University Gospel Hospital, Busan, Korea.
- Publication Type:Case Report
- Keywords:
Catheter;
Indwelling;
Complications;
Embolization;
Foreign-body migration
- MeSH:
Thigh/pathology;
Pulmonary Artery/*injuries/surgery;
Liposarcoma/drug therapy;
Humans;
Foreign-Body Migration/*complications/surgery;
Female;
*Equipment Failure;
Embolism/*etiology/surgery;
Catheters, Indwelling/*adverse effects;
Catheterization, Central Venous/*adverse effects/instrumentation;
Adult
- From:The Korean Journal of Internal Medicine
2006;21(3):187-190
- CountryRepublic of Korea
- Language:English
-
Abstract:
Vascular catheters are associated with complications such as infection, thrombosis and stenosis. The embolization of a venous catheter fragment is a rare complication. A 39-year-old woman underwent placement of a totally implantable venous access device for chemotherapy to treat a recurrent liposarcoma of the left thigh. The "pinch-off sign" was noted on a routine chest X-ray but that was ignored. Three-months after implantation of the intravenous access device, the indwelling central catheter was fractured and embolized to the pulmonary trunk. The catheter in the pulmonary trunk was successfully removed through a percutaneous femoral vein approach using a pigtail catheter and goose neck snare.
