Percutaneous removal of two intracardiac and pulmonary trunkal catheter fragment by using a snare-loop catheter

Dağdelen, Sinan; Yüce, Murat; Çağlar, Nuri

doi:10.1016/j.ijcard.2006.06.010

Cited by 7 publications

(5 citation statements)

References 3 publications

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“…(1,(16)(17)(18)(19)(20). It was also supposed that factors such as venous flow, negative inspiratory pressure in the thoracic cavity, changes in thoracic pressure with coughing and vomiting, vigorous movement of the upper arms, neck flexion, were thought to lead to migration of fractured material (21,22). In this case, we could not speculate on the cause of migration in our patient.…”

Section: Discussionmentioning

confidence: 81%

Percutaneous Removal of a Broken and Embolized Transvenous Chemotherapy Port Catheter in the Left Pulmonary Artery by Using a Snare-loop Catheter

Kalyoncuoğlu¹,

Öztürk²,

Durmuş³

et al. 2017

Haseki

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Totally subcutaneous intravascular portacath provide safe and reliable vascular access and is widely utilized for venous access for long-term parenteral administration of medications. Catheter fracture and/or embolization of the catheter fragment in to the heart and or pulmonary artery is a rare and potentially serious complication. When it occurs, a prompt surgical or percutaneous extraction of the embolized foreign body is necessary. We present an asymptomatic case of metastatic colon adenocarcinoma in a patient who had fragmentation of catheter from the connection of the port and migration to left pulmonary arteries. We successfully removed the 10-cm long and 6-Fr diameter fractured catheter segment from the left pulmonary artery via the right femoral vein using a snare catheter with triple loop without complication. Post-procedure course was uneventful and the nature of the vascular access made early ambulation possible. Compared to surgery, percutaneous approach is a less invasive, safe, reliable and effective technique. Therefore, we suggest that percutaneous transcatheter technique for retrieval of embolized or broken catheter fragments should be considered as the first-choice treatment.Keywords: Endovascular, portcath, left pulmonary artery, snare catheter Total subkutan intravasküler portacath, uzun süreli parenteral ilaç uygulaması için yaygın olarak kullanılan güvenli venöz giriş yoludur. Port kateterinin kırılması ve/veya kateter parçasının kalp boşluklarına ve/veya pulmoner sisteme embolizasyonu nadir fakat potansiyel olarak ciddi bir komplikasyondur. Böyle bir durumla karşılaşılması durumunda, embolize yabancı cismin bir an önce cerrahi ya da perkütan çıkarılması gerekir. Biz bu yazıda, metastatik adenokarsinom nedeniyle subkutan venöz port yoluyla ilaç kullanan, ilaç uygulanımı sırasında portun bağlantı noktasından koparak, kırılmış ve sol pulmoner artere embolize olmuş olan yaklaşık 10 cm uzunluğunda ve 6 Fr çapında katater parçasının sağ femoral ven yoluyla 3 looplu mikro snare katater kullanılarak perkütan yolla çıkarıldığı bir olguyu sunmaktayız. İşlem sonrası dönemde herhangi bir komplikasyon olmadı ve hasta erken dönemde mobilize edildi. Cerrahi ile karşılaştırıldığında perkütan yol ile kırılmış ve/veya kalp boşluklarına ve/veya pulmoner sisteme embolize olmuş katater parçalarının perkütan yolla çıkarılmasının daha az invaziv, güvenli ve etkili tedavi seçeneği olduğunu düşünmekteyiz.AnahtarSözcükler:Endovasküler, portcath, sol pulmoner arter, snare katater

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Section: Discussionmentioning

confidence: 81%

Percutaneous Removal of a Broken and Embolized Transvenous Chemotherapy Port Catheter in the Left Pulmonary Artery by Using a Snare-loop Catheter

Kalyoncuoğlu¹,

Öztürk²,

Durmuş³

et al. 2017

Haseki

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“…Percutaneous retrievals should be considered before surgery since it prevents potential complications related with open heart surgery. 13 , 14 In this case, percutaneous retrieval was unsuccessful as it was migrated for long enough to be all covered by epithelium. Carroll, et al 13 suggested that, if a foreign body is discovered acutely and does not appear to be adherent, a snare catheter retrieval of foreign body is usually very successful.…”

Section: Discussionmentioning

confidence: 94%

Metallic Foreign Body in Heart Mimicking Moderator Band

et al. 2015

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A foreign body in heart is rare, but it is more frequently encountered than the past as iatrogenic causes are increasing. Clinicians should be aware that foreign body could be mistaken for normal structure of heart. In order for accurate diagnosis, multi-imaging modalities should be used for information of exact location, mobility and hemodynamic effects. A decision to intervene should be made based on potential harms harbored by foreign bodies. Endovascular retrieval should be considered as an option. However, when fatal complications occur or when foreign bodies are embedded deeply, a surgical removal should be attempted.

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“…Broken or fractured guide wire fragments might result in severe consequences, such as embolization or even cardiac arrest [ 15 , 16 ]. Guide wire fragments can be removed with a snare loop catheter that is inserted through the femoral vein [ 17 ]. Another rare complication observed is intravascular knotting of the catheter.…”

Section: Discussionmentioning

confidence: 99%

Jugular Venous Catheterization: A Case of Knotting

Erkılıç¹,

Aksoy²,

Gümüş³

et al. 2015

Case Reports in Medicine

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A 79-year-old woman, diagnosed for cancer of the ovary, had a central catheter that was placed with difficulty through the right internal jugular vein intraoperatively. After oophorectomy, it was realized that the catheter was knotted. Thus, the central venous catheter was removed successfully using a traction technique in the operating room. Central venous catheter use may result in various complications, although it has been used as an invasive method for hemodynamic monitoring and fluid and drug infusion. Here, we present catheter knotting in a case with solutions for this complication, under literature review.

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Percutaneous removal of two intracardiac and pulmonary trunkal catheter fragment by using a snare-loop catheter

Cited by 7 publications

References 3 publications

Percutaneous Removal of a Broken and Embolized Transvenous Chemotherapy Port Catheter in the Left Pulmonary Artery by Using a Snare-loop Catheter

Percutaneous Removal of a Broken and Embolized Transvenous Chemotherapy Port Catheter in the Left Pulmonary Artery by Using a Snare-loop Catheter

Metallic Foreign Body in Heart Mimicking Moderator Band

Jugular Venous Catheterization: A Case of Knotting

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