Atsushi Shimizu1, Alan Lefor2, Manabu Nakata3, Umehachi Mitsuhashi4, Masahiro Tanaka4, Yoshikazu Yasuda2. 1. Department of Surgery, Koganei Central Hospital, Koganei 2-4-3, Shimotsuke, Tochigi 329-0414, Japan; Department of Surgery, Jichi Medical University, Yakushiji 3311-1, Tochigi 329-0498, Japan. Electronic address: ashimizu@jichi.ac.jp. 2. Department of Surgery, Jichi Medical University, Yakushiji 3311-1, Tochigi 329-0498, Japan. 3. Department of Radiology, Jichi Medical University, Yakushiji 3311-1, Shimotsuke, Tochigi 329-0498, Japan. 4. Department of Surgery, Koganei Central Hospital, Koganei 2-4-3, Shimotsuke, Tochigi 329-0414, Japan.
Abstract
INTRODUCTION: Fracture and embolization of central venous catheters placed via the subclavian approach is well recognized, but fractured catheters placed via the internal jugular vein are extremely rare. PRESENTATION OF CASE: A 65-year-old man presented with a catheter embolus after placement of a central venous port using the internal jugular approach undertaken to administer adjuvant chemotherapy for colon cancer with lung metastases. Goose neck and conformational loop snares were successfully used to percutaneously retrieve the severed catheter, which had migrated to the right ventricle. DISCUSSION: Catheter fracture may occur even after placement via the internal jugular approach and may be underestimated because it is often asymptomatic. Interventional radiology techniques using goose-neck and conformational loop snares may be useful to retract an intravascular foreign body. CONCLUSION: Imaging studies such as a chest X-ray are mandatory to check that the catheter tip is in the appropriate position during the entire follow-up period even if it was placed through the internal jugular vein.
INTRODUCTION:Fracture and embolization of central venous catheters placed via the subclavian approach is well recognized, but fractured catheters placed via the internal jugular vein are extremely rare. PRESENTATION OF CASE: A 65-year-old man presented with a catheter embolus after placement of a central venous port using the internal jugular approach undertaken to administer adjuvant chemotherapy for colon cancer with lung metastases. Goose neck and conformational loop snares were successfully used to percutaneously retrieve the severed catheter, which had migrated to the right ventricle. DISCUSSION: Catheter fracture may occur even after placement via the internal jugular approach and may be underestimated because it is often asymptomatic. Interventional radiology techniques using goose-neck and conformational loop snares may be useful to retract an intravascular foreign body. CONCLUSION: Imaging studies such as a chest X-ray are mandatory to check that the catheter tip is in the appropriate position during the entire follow-up period even if it was placed through the internal jugular vein.
Authors: Łukasz Kalińczuk; Zbigniew Chmielak; Artur Dębski; Cezary Kępka; Piotr N Rudziński; Sebastian Bujak; Mirosław Skwarek; Andrzej Kurowski; Zofia Dzielińska; Marcin Demkow Journal: Postepy Kardiol Interwencyjnej Date: 2016-05-11 Impact factor: 1.426
Authors: Chia Wei Teoh; Avnesh S Thakor; Joao G Amaral; Dimitri A Parra; Elizabeth A Harvey; Damien G Noone Journal: Case Rep Nephrol Dial Date: 2016-02-03