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KMID : 1103720070570060519
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Journal of the Korean Society of Radiology
2007 Volume.57 No. 6 p.519 ~ p.523
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Radiologic Interventional Retrieval of Retained Central Venous Catheter Fragment in Prematurity: Case Report
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Park Ji-Won
Jo Jung-Hyun
Park Byeong-Ho
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Abstract
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The fracture of a central venous catheter is a rare but potentially serious complication. Moreover, removal of the broken catheter pieces is considerably challenging, especially for premature infants. We report 3 case studies of the percutaneous transcatheter retrieval of broken catheter parts in 3 premature infants. We confirmed the location of the catheter fragments via a DSA venogram with diluted contrast media. Using the minimum amount of contrast, and extreme caution, we made certain no contrast-induced nephrotoxicity or air embolism occured during catheter manipulation. In addition, when the broken fragment was curled or attached to the cardiac wall, we used a hook-shaped catheter to facilitate the capturing of the catheter with a loopsnare. This report demonstrates the feasibility of removing a retained catheter fragment in a premature infant using a percutaneous transcatheter approach
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KEYWORD
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Premature infant, Indwelling catheters, Equipment failure, Central venous catheterization, Catheter ablation
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