Percutaneous retrieval of 20 centrally dislodged Port-A catheter fragments

Liu, Juhn-Cherng; Tseng, Hsiuo-Shan; Chen, Chia-Yuen; Chern, Ming-Shyan; Chang, Cheng-Yen

doi:10.1016/s0899-7071(03)00119-0

Cited by 68 publications

(71 citation statements)

References 7 publications

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“…Among our cases, the main catheter breakage point was at the junction between the catheter and the reservoir, which is in accordance with Liu et.al. [34]. Although no statistically significant differences were found between the two experimental groups, the incidence of embolism in the subclavian group (23%) was higher than that in the jugular group (8%).…”

Section: Discussionmentioning

confidence: 67%

Long‐term complications in totally implantable venous access devices: Randomized study comparing subclavian and internal jugular vein puncture

Ribeiro

Abib

Aguiar

et al. 2011

Pediatric Blood & Cancer

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BackgroundThis prospective randomized study evaluated complications related to long‐term totally implantable catheters in oncologic children and adolescents by comparing venopunction performed either in the jugular or subclavian vein.MethodsA total of 83 catheters were implanted from January 2004 to April 2006 and followed‐up until March 2008. Patients were randomly allocated to the subclavian or jugular vein group. The endpoint was complications that led to catheter revision or catheter removal.ResultsSix patients were excluded, 43 had the catheter implanted in the subclavian and 34 in the jugular vein. Subclavian catheters were used for up to 12.6 months, while jugular catheters were kept in place for up to 14.8 months (P = 0.38). No statistical differences were found between the groups concerning age, sex, leukocyte count, platelet count, type of admission (in or outpatient), or previous chemotherapy regimens. When analyzed individually, long‐term complications did not present statistically significant differences either. Infection occurred in 20 and 11% (P = 0.44), while catheter embolism took place in 23 and 8% (P = 0.11) of patients with subclavian and jugular catheters, respectively. A statistical difference was seen in the total number of complications, which occurred in 48 and 23% (P = 0.02) of patients in the subclavian and in the jugular groups, respectively.ConclusionsCatheters implanted by puncture in the subclavian vein were more prone to late complications than those implanted in the jugular vein. Pediatr Blood Cancer 2012; 58: 274–277. © 2011 Wiley Periodicals, Inc.

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Section: Discussionmentioning

confidence: 67%

Long‐term complications in totally implantable venous access devices: Randomized study comparing subclavian and internal jugular vein puncture

Ribeiro

Abib

Aguiar

et al. 2011

Pediatric Blood & Cancer

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“…10 The neurointerventional and cardiac literature also includes several reports of foreign bodies, including epicardial pacing wires, catheter tips, and detachable balloons. 1,3,6,8,11 Given the size of foreign objects relative to vessel caliber, most objects embolize into the distal ICA and middle cerebral artery (MCA) branches. It is exceedingly rare for a foreign body to become lodged in the CCA because of the larger size of that artery.…”

Section: Discussionmentioning

confidence: 99%

“…Using a stone basket retriever, Travelli and Cogbill 12 successfully extracted a 4-Fr diagnostic catheter fragment from the right CCA. Liu et al 8 described their experience with 20 cases of catheter fragments that were dislodged into the cardiopulmonary circulation. They achieved 100% retrieval success using Dormia basket retrievers and loop snare catheters.…”

Section: Discussionmentioning

confidence: 99%

Carotid cutdown for surgical retrieval of a guidewire introducer: an unusual complication after mitral valve repair

Meyers¹,

Sorkin

Shakir

et al. 2014

JNS

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F oreign body embolization is an unfortunate event that can complicate endovascular procedures. Intraluminal foreign bodies in the cerebral circulation are primarily described in the trauma, neurointerventional, and cardiac literature, although their true prevalence and incidence are unknown. There are no treatment guidelines for foreign body removal, and management depends on surgeon preference, previously described cases, and patient characteristics. We describe an unusual case of a guidewire introducer from a previous cardiac procedure that embolized within the right common carotid artery (CCA), causing the patient to experience a transient ischemic attack (TIA), and was surgically removed via a carotid cutdown approach. Case ReportHistory and Examination. A 64-year-old man presented to our facility with transient left-sided weakness and slurred speech consistent with a TIA several months after he had undergone complex mitral valve repair. The previous operation involved placement of a left-sided internal jugular venous catheter and a femoral artery cutdown for placement of an endovascular balloon in the aorta for cardiopulmonary bypass during the procedure. Postoperatively, the patient was treated with warfarin for 3 months. At the time of our examination, his National Institutes of Health Stroke Scale (NIHSS) score was 0, with no leftsided hemiparesis.Carotid cutdown for surgical retrieval of a guidewire introducer: an unusual complication after mitral valve repair Department of Neurosurgery, Buffalo General Medical Center and Gates Vascular Institute at Kaleida Health, Buffalo, New YorkWith the use of endovascular techniques and indwelling catheters, potential complications can include embolization of fragments or components of various systems. The authors describe the surgical retrieval of a guidewire introducer from the right common carotid artery (CCA). A 64-year-old man was found to have a foreign body within the right CCA on CT angiography after he had presented with a transient ischemic attack. He had undergone a complex mitral valve repair several months before presenting to the authors' facility. That procedure involved a femoral artery cutdown and the insertion of an endovascular aortic balloon for cardiac bypass. As in most endovascular procedures, guidewire introducers were probably used to facilitate the introduction of the guidewire into the system during the procedure. Although rare, iatrogenic embolization of the introducer probably occurred during use of the guidewire. The guidewire introducer was successfully retrieved without complication by using a standard carotid cutdown approach. It is extraordinarily unusual for an extracorporeal part of an implantable system to embolize to the carotid circulation. To the authors' knowledge, this is the only reported case of an embolized guidewire introducer and the use of a carotid exposure to retrieve an intraluminal foreign body. This case demonstrates that a carotid cutdown approach can be used successfully for the retrieval of intraluminal extr...

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“…The Intravascular foreign body is a rare but very serious complication of these intravascular therapies. Intravascular foreign bodies most commonly result from embellished central line fragments, but they may originate from many other potential sources and can be iatrogenic or non-iatrogenic [6]. These foreign bodies could be guided wires, catheter fragments, stents; inferior vena cava filters and fractured sheaths [7].…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Removal of Difficult Pulmonary Artery Foreign Body: A Rare Case Report

2017

IJSR

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Endovascular catheterization is now more frequently used for various endovascular procedures and central venous access.Sometimes, catheterization causes rare complication when parts of the catheter break and can embolize to the main heart chambers, main pulmonary arteries and to other vascular sub-branches as a foreign body and can cause thrombophlebitis, endocarditis, vascular occlusion and thrombosis [1]. Migrated pulmonary artery foreign bodies are rare life threatening conditions and earliest reported in literature over 50 years ago (2). It carries a high mortality and morbidity if the foreign body is not removed timely (3). Surgical and nonsurgical methods for removal of these foreign bodies have been described in the past (4). Percutaneous removal is highly effective with a low complication rate and should be the first line intervention (5). One of the most commonly used device is a single loop snare, but sometimes it may be hard to retrieve the foreign body with single loop snare. In this case, we report the successful percutaneous retrieval of the broken catheter guide wire from the pulmonary artery by using multiple loop snare devices.

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Percutaneous retrieval of 20 centrally dislodged Port-A catheter fragments

Cited by 68 publications

References 7 publications

Long‐term complications in totally implantable venous access devices: Randomized study comparing subclavian and internal jugular vein puncture

Long‐term complications in totally implantable venous access devices: Randomized study comparing subclavian and internal jugular vein puncture

Carotid cutdown for surgical retrieval of a guidewire introducer: an unusual complication after mitral valve repair

Percutaneous Removal of Difficult Pulmonary Artery Foreign Body: A Rare Case Report

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