Empyema Thoracis Due to Intrapleural Migration of Retained Vascular Catheter

Oduntan, Olusola; Turner, John P.

doi:10.1016/j.athoracsur.2012.10.076

Cited by 6 publications

(2 citation statements)

References 8 publications

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“…Infectious complications include thrombophlebitis and septic shock secondary to line related sepsis. Venous thrombosis and central vein occlusion have also been noted to occur with long-term central vein catheter placement ( 3 , 4 ).…”

Section: Discussionmentioning

confidence: 99%

“…Since the first report of an embolised catheter fragment in 1954, overall complication rates have remained low and are only reported to occur in less than 1% of cases. Fractured catheters account for less than 0.1% of this total number ( 4 ). Prior to introduction of endovascular approach, retrieval of a fractured segment almost always required high risk open surgery such as thoracotomy ( 5 ).…”

Section: Introductionmentioning

confidence: 99%

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Retained Fractured Fragment of A Central Venous Catheter: A Minimally Invasive Approach to Safe Retrieval

Hamad

Rajan

Kosai

et al. 2016

Ethiop J Health Sci

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BACKGROUND: Complication following fracture of a central venous catheter can be catastrophic to both the patient and the attending doctor. Catheter fracture has been attributed to several factors namely prolong mechanical force acting on the catheter, and forceful removal or insertion of the catheter. CASE DETAILS: In the present case, the fracture was suspected during the process of removal. The tip of the catheter was notably missing, and an emergency chest radiograph confirmed our diagnosis of a retained fracture of central venous catheter. The retained portion was removed by the interventional radiologist using an endovascular loop snare and delivered through a femoral vein venotomy performed by the surgeon. CONCLUSION: Endovascular approach to retrieval of retained fractured catheters has helped tremendously to reduce associated morbidity and the need for major surgery. The role of surgery has become limited to instances of failed endovascular retrieval and in remote geographical locations devoid of such specialty.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%