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Korean J. Intern. Med. · Sep 2006
Case ReportsTransluminal removal of a fractured and embolized indwelling central venous catheter in the pulmonary artery.
- O Kil Kim, Su Hong Kim, Jong Bin Kim, Woo Seong Jeon, Sung Hwan Jo, Jee Hyun Lee, and Ji Ho Ko.
- Department of Internal Medicine, Kosin University Gospel Hospital, Busan, Korea.
- Korean J. Intern. Med. 2006 Sep 1;21(3):187-90.
AbstractVascular catheters are associated with complications such as infection, thrombosis and stenosis. The embolization of a venous catheter fragment is a rare complication. A 39-year-old woman underwent placement of a totally implantable venous access device for chemotherapy to treat a recurrent liposarcoma of the left thigh. The "pinch-off sign" was noted on a routine chest X-ray but that was ignored. Three-months after implantation of the intravenous access device, the indwelling central catheter was fractured and embolized to the pulmonary trunk. The catheter in the pulmonary trunk was successfully removed through a percutaneous femoral vein approach using a pigtail catheter and goose neck snare.
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