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KMID : 0338420060210030187
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The Korean Journal of Internal Medicine
2006 Volume.21 No. 3 p.187 ~ p.190
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Transluminal removal of a fractured and embolized indwelling central venous catheter in the pulmonary artery.
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Kim OK
Kim SH/Kim JB/Jeon WS/Jo SH/Lee JH/Ko JH
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Abstract
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Vascular 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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