A multiinstitutional review of central venous line complications: retained intravascular fragments

Milbrandt, Kris; Beaudry, Paul; Robertson‐Anderson, Rae M.; Jones, Sarah A.; Giacomantonio, Michael; Sigalet, David L.

doi:10.1016/j.jpedsurg.2009.01.033

Cited by 38 publications

(33 citation statements)

References 15 publications

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“…The longer the CVC remains within the vein, the higher is the possibility of presenting this complication, probably related with the underlying process of scar formation and calcification of the "fibrin sheath" around the CVC described above. Other authors have not found the same correlation [6,7]. In our study, macroscopic calcification was not observed at any time.…”

Section: Discussionsupporting

confidence: 52%

“…The global incidence of this complication in our series is 1.6% for all patients and 2.2% for children undergoing elective removals. Milbrandt et al [7] reported an incidence of this complication of 2% in 299 patients who underwent removal of their CVC, in the largest series of patients reported before ours.…”

Section: Discussionmentioning

confidence: 51%

“…Virtually all patients from our series had different forms of cancer and most had received chemotherapy as well as all children described by Milbrandt et al [7]. However, the number of patients experiencing nonmalignant conditions in our series is low and thus hampers drawing valid conclusions for all kind of patients carrying CVC.…”

Section: Discussionmentioning

confidence: 77%

“…Up to 40% of children with CVC experience 1 of these complications [2]. Nevertheless, there are few reports regarding the presence of retained fixed fragments after removal of indwelling CVCs in children [6,7], and there is still a lack of consensus regarding the optimal management of this complication.…”

Section: Introductionmentioning

confidence: 99%

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Retained intravascular fragments after removal of indwelling central venous catheters: a single institution experience

Bautista

Gómez-Chacón

Costa

et al. 2010

Journal of Pediatric Surgery

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Section: Discussionsupporting

confidence: 52%

Section: Discussionmentioning

confidence: 51%

Section: Discussionmentioning

confidence: 77%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Retained intravascular fragments after removal of indwelling central venous catheters: a single institution experience

Bautista

Gómez-Chacón

Costa

et al. 2010

Journal of Pediatric Surgery

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“…14 Additional reports describe retained catheter fragments 15,16 and embolized foreign materials 17 after vascular intervention.…”

mentioning

confidence: 99%

Hydrophilic polymer emboli: an under-recognized iatrogenic cause of ischemia and infarct

et al. 2010

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With the increased use of percutaneous intravascular diagnostic and therapeutic devices, there is potential for embolization of materials introduced into the vasculature. We report nine cases of foreign body emboli in patients who underwent vascular procedures using hydrophilic-coated medical devices. The procedures performed included cardiac catheterization (four cases), diagnostic cerebral angiography (two cases), therapeutic cerebral angiography with coil embolization of intracerebral aneurysm (one case), lower extremity angiography (one case), and/or orthotopic cadaveric organ transplantation (three cases). Other procedures in these patients included hemodialysis and peripheral arterial or central venous catheterization. Clinical sequelae ranged from undetectable (no symptoms) to pulmonary infarction, stroke, ongoing gangrene, and/or death occurring within days to weeks of suspected embolization of foreign material. Microscopic findings in biopsy or autopsy tissue revealed aggregates of amorphous or lamellated, non-refractile, non-polarizable, predominantly basophilic foreign substances occluding intrapulmonary, intracerebral, or peripheral arteries. This is the largest series documenting embolization of polymer gel materials. Polymer gel is now widely used on several devices for interventional procedures worldwide, and we suspect that complications associated with iatrogenic embolization of this substance are under-recognized.

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Fragmented central venous catheter retained for years with minimal symptoms

Mullan

Tariq

Goldin

2017

Clinical Case Reports

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A multiinstitutional review of central venous line complications: retained intravascular fragments

Cited by 38 publications

References 15 publications

Retained intravascular fragments after removal of indwelling central venous catheters: a single institution experience

Retained intravascular fragments after removal of indwelling central venous catheters: a single institution experience

Hydrophilic polymer emboli: an under-recognized iatrogenic cause of ischemia and infarct

Fragmented central venous catheter retained for years with minimal symptoms

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