Retrieval of friable catheter fragments

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

“…The fragment of a fractured central venous catheter was successfully removed from different intravascular segments by using snare-loop catheter [3,4]. Harikrishnan et al showed that this technique is practical and reliable for retrieval of friable catheter fragments [5]. In our case, there was no problem or complication during insertion of the catheter, which was done by an experienced surgical team in the operation room, and postoperative control chest X-ray was also normal.…”

Catheter Reprocessing for Coronary Angiography: It is Not Safe

“…In addition, according to some authors reprocessing results in the accumulation of biofilms and endotoxins within microcracks, which may lead to infections and the development of thrombi in patients [17]. These complications include embolic cerebrovascular accidents, neurological deficits, and blindness in patients after fragments of reprocessed catheters lodged in the heart, in the left carotid artery of the intracranial portion, and in the central artery of the retina [10,[17][18][19][20][21]. Myrna et al [22] evaluated the characteristics of the catheter by eletron microscopy after reprocessing and showed that there were a lot of damages.…”

Entrapped catheter in the left ventricular posterior venous radicle of the coronary sinus in a case of hemianomalous pulmonary venous connection of left pulmonary veins to coronary sinus

“…The major causes of catheter breakage and entrapment include fatigue due to multiple manipulations, kinking and physical properties of the catheter system itself [1]. The incidence of broken catheters is 6 in 12,367 [2].…”

“…However, the most widely adopted techniques include loop snare catheters or Dormia basket retrievers. These devices are best for larger fragments in easily accessible sites, are difficult to use in small and distal vessels and require larger sheaths [1].…”