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Fracture and cardiac migration of an implanted venous catheter.

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  • 1Department of Internal Medicine, McLeod Medical Center, Florence, SC, USA.

Abstract

OBJECTIVE:

Distal embolization of a fractured indwelling central catheter is a rare life-threatening complication. Interventional radiologic techniques are often successfully used to retrieve the fractured tip but in rare cases, a surgical intervention is needed.

METHODS:

We present a case in which radiologic methods failed to remove the embolized fragment because of multiple venous occlusions, and a cardiotomy was finally necessary.

RESULTS:

After right atriotomy, the fractured embolized tip was successfully removed, as well as the proximal portion.

CONCLUSIONS:

Implanted catheters should be removed after completion of treatment, or the integrity of the system should be monitored on a regular basis.

PMID:
17670114
[PubMed]
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