Retained Catheter Fragment from a Fractured Tunneled Catheter-A Rare and Potentially Lethal Complication

Reddy, Anand; Stangl, Anondo; Radbill, Brian

doi:10.1111/j.1525-139x.2010.00756.x

Cited by 11 publications

(13 citation statements)

References 19 publications

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“…Despite the relative speed of the procedure (15'), Foley et al report incomplete removal of the catheter with a residual fragment left in situ (21). Although no consequences are reported regarding this case, there is still the possibility of long term and potentially life-threatening complications (22).…”

Section: Stuck Catheter: Removal Techniquesmentioning

confidence: 89%

Dealing with stuck hemodialysis catheter: state of the art and tips for the nephrologist

et al. 2014

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The term stuck catheter refers to the condition in which a catheter is not removable from a central vein using standard techniques. Although it is a rare complication, in the last few years it has been reported ever more frequently in hemodialysis due to the widespread use of tunneled catheters. Poor knowledge of the correct procedures and limited experience and training of the specialist in facing this problem are the main reasons for catheter internalization. Stuck catheter is often diagnosed by the nephrologist who should be competent enough to manage this clinical complication. Among the many options for removing a stuck catheter from the fibrin sleeve, an interventional radiology approach, mainly with endoluminal balloon dilatation, probably provides the best solution. Vascular surgery should be reserved to selected cases in which percutaneous techniques have failed. Nephrologists must play a central role in organizing the treatment of this complication with other specialists in order to avoid making mistakes that may preclude future positive results.

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Section: Stuck Catheter: Removal Techniquesmentioning

confidence: 89%

Dealing with stuck hemodialysis catheter: state of the art and tips for the nephrologist

et al. 2014

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“…Right internal jugular haemodialysis catheter fracture has been reported, and attributed to its repeated manipulation and acute angle in the neck region (site of fracture) 5. In another case involving a haemodialysis patient, the tip of a previous right internal jugular catheter was found in the right atrium, following a CXR for an unrelated problem 6. This patient had previously had multiple venous catheters.…”

Section: Discussionmentioning

confidence: 99%

Central venous catheter embolisation

Harrison

Lal

2012

BMJ Case Reports

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SummaryTunnelled central venous catheters are commonly used for a variety of indications, including home parenteral nutrition, but are rarely associated with fracture and embolisation; the risk of embolisation is reported to be greater with catheters placed via the subclavian vein rather than the internal jugular route. We report the case of a 64-year-old woman with type 3 (chronic and irreversible) intestinal failure who presented with pain and swelling on infusion of parenteral nutrition through her internal jugular catheter. A chest x-ray showed fracture and embolisation of her catheter into the right ventricle. The embolised portion was retrieved and removed via the femoral route, without complication and the catheter replaced. We discuss causes of line embolisation, and highlight the possibility of embolisation occurring with an internal jugular catheter. BACKGROUND

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“…In this method, a 16‐French laser sheath (Spectranetics Inc., Colorado Springs, CO, USA) passes over the dialysis catheter transecting adhesions. Some reported complications of retrieving a retained catheter include catheter fracture, vessel rupture, and fragmentation of catheter remnants causing uncontrolled bleeding, sepsis, and thrombosis …”

Section: Discussionmentioning

confidence: 99%

“…Long‐term catheter use can lead to serious sequelae of infection, thrombosis, central venous stenosis, and mechanical dysfunction . Rare complications include vessel perforation, venobronchial fistulization, fracture, migration of catheter, and adherence to vessel walls …”

Section: Introductionmentioning

confidence: 99%

An unusual case of an irretrievable hemodialysis catheter in a patient with end stage renal disease

Ghahremani-Ghajar

Jin

Borghei

et al. 2017

Hemodialysis International

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Hemodialysis catheters are associated with higher risks of complications compared to arteriovenous fistulas and grafts. Some common complications of dialysis catheters include infection, thrombus formation, central venous stenosis, and mechanical dysfunction. Rarely, catheters can become firmly adhered to a vessel wall. Catheter adhesion is a serious complication that can impact the delivery of safe and effective dialysis to affected patients. Adherent catheters commonly present insidiously with no overt diagnostic signs and symptoms or antecedent catheter malfunction. Prognosis is variable, but can be potentially fatal depending on the severity of adhesion, and sequelae of complications. There are no standardized methods of therapy and treatment strategies are anecdotally reported by interventional radiology, vascular, and cardiothoracic surgery. We hereby describe a case of hemodialysis catheter that has become firmly embedded within the superior vena cava wall. We review the available literature on the epidemiology, risk factors, long-term sequelae, and known management strategies of adherent catheters. The development of preventative measures will be of great importance given serious complications and limited treatment options. Clinical awareness and understanding of this rare condition is imperative to the prevention and management of adherent catheters.

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Retained Catheter Fragment from a Fractured Tunneled Catheter-A Rare and Potentially Lethal Complication

Cited by 11 publications

References 19 publications

Dealing with stuck hemodialysis catheter: state of the art and tips for the nephrologist

Dealing with stuck hemodialysis catheter: state of the art and tips for the nephrologist

Central venous catheter embolisation

An unusual case of an irretrievable hemodialysis catheter in a patient with end stage renal disease

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