An unusual complication of arterial catheter removal

Glennon, Kate; Nair, Parvathy S.

doi:10.1111/j.1365-2044.2010.06527.x

Cited by 2 publications

(2 citation statements)

References 2 publications

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“…Previous cases identified in the literature have utilised several methods of identifying the presence of intra-arterial cannula fragments, including x-ray and angiography [5]. In addition, ultrasound has also been demonstrated to be a useful non-invasive tool to confirm both the presence and location of a foreign body [5][6][7]. Many anaesthetists are now sufficiently skilled in ultrasound to identify the presence of an intra-arterial foreign body and refer the patient on as required.…”

Section: Discussionmentioning

confidence: 99%

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Arterial line fracture: an unusual complication of invasive blood pressure monitoring

Allen

Netke

2017

Anaesthesia Cases

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Arterial lines are routinely used for haemodynamic monitoring in critically ill patients and they are associated with a low incidence of major complications. We present a case of radial arterial cannula fracture which necessitated surgical removal. Ultrasound played a crucial role in both identifying the cannula fragment and aiding surgical retrieval. Arterial line fracture is a rare complication of arterial cannulation but patient safety could be improved through a revision of how cannulas are secured to prevent kinking, fatigue and subsequent fracture. We suggest arterial lines should have marked or coloured tips to aid practitioners in ensuring the entire cannula length is removed with the distal tip intact.

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Section: Discussionmentioning

confidence: 99%

“…It has been postulated that securing the cannula to prevent kinking between the cannula shaft and the hub could prevent cannula fatigue and fracture [7]. It has also been suggested that suturing is the preferred method for securing devices [8].…”

Section: Discussionmentioning

confidence: 99%

Arterial line fracture: an unusual complication of invasive blood pressure monitoring

Allen

Netke

2017

Anaesthesia Cases

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Sonography-Guided Endovascular Retrieval of Fractured Angiocatheter in Brachial Artery: A Case Report

Chen

2024

Vasc Endovascular Surg

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Background The insertion of an angiocatheter into a peripheral artery for continuous hemodynamic monitoring is a widely employed clinical practice. Fracture of a angiocatheter retained in an artery, though infrequent, presents a challenge in clinical management, particularly in critically ill patients. Surgical exploration for retrieval is generally required, as fluoroscopy-guided endovascular methods are precluded due to the radiolucency of catheters. Case report This case report demonstrates the successful retrieval of a fractured catheter from the brachial artery of an 85-year-old critically ill patient through the utilization of endovascular techniques guided by sonography. Key considerations include selecting an appropriate snare system diameter and ensuring real-time sonographic visualization to prevent displacement of the fractured segment. Conclusion This case illustrates the feasibility and safety of sonography-guided endovascular retrieval as an alternative to surgical intervention for fractured angiocatheters. The proposed strategy demonstrates its applicability in similar clinical scenarios.

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An unusual complication of arterial catheter removal

Cited by 2 publications

References 2 publications

Arterial line fracture: an unusual complication of invasive blood pressure monitoring

Arterial line fracture: an unusual complication of invasive blood pressure monitoring

Sonography-Guided Endovascular Retrieval of Fractured Angiocatheter in Brachial Artery: A Case Report

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