Type:
Educational Exhibit
Keywords:
Angioplasty, Catheter arteriography, Fluoroscopy, Foreign bodies, Outcomes, Angioscopy, Vascular, Interventional vascular
Authors:
A. Dablan, O. Ozgur; Antalya/TR
DOI:
10.1594/ecr2018/C-2228
Background
Central venous port catheters play an important role in the treatment of oncology patients and are commonly used for parenteral feeding and fluids and chemotherapy administration.
The most common complications are local bleeding and hematoma,
heart dysrhythmias,
arterial puncture,
hemothorax,
pneumothorax,
air embolism,
perforation of the central vein or cardiac chamber,
infection,
venous thrombosis,
catheter dysfunction and intravascular dislocation .
Port catheter dislodgement is seen in 0-4.1% of cases,
with up to 71% of them facing death or serious complications.
Dislodged catheter fragments can travel to the right heart or the pulmonary artery and might cause arrhythmias or pulmonary thromboembolism,
potentially threatening life.(Fig.1)
Therefore,
the dislodged catheter should be removed as soon as possible,
which might be achieved with percutaneous retrieval,
open thoracotomy retrieval,
and long-term anticoagulant therapy.
Percutaneous transcatheter retrieval of dislodged catheter is generally safe,
minimally invasive,
and efficient.
The aim of this study was to present our experience with percutaneous retrieval of the embolized fragments with simultaneous use of loop catheters and loop snare catheters.