Percutaneous Removal of a Broken and Embolized Transvenous Chemotherapy Port Catheter in the Left Pulmonary Artery by Using a Snare-loop Catheter
Journal Title: HASEKİ TIP BÜLTENİ - Year 2017, Vol 55, Issue 1
Abstract
Totally subcutaneous intravascular portacath provide safe and reliable vascular access and is widely utilized for venous access for long-term parenteral administration of medications. Catheter fracture and/or embolization of the catheter fragment in to the heart and or pulmonary artery is a rare and potentially serious complication. When it occurs, a prompt surgical or percutaneous extraction of the embolized foreign body is necessary. We present an asymptomatic case of metastatic colon adenocarcinoma in a patient who had fragmentation of catheter from the connection of the port and migration to left pulmonary arteries. We successfully removed the 10-cm long and 6-Fr diameter fractured catheter segment from the left pulmonary artery via the right femoral vein using a snare catheter with triple loop without complication. Post-procedure course was uneventful and the nature of the vascular access made early ambulation possible. Compared to surgery, percutaneous approach is a less invasive, safe, reliable and effective technique. Therefore, we suggest that percutaneous transcatheter technique for retrieval of embolized or broken catheter fragments should be considered as the first-choice treatment.
Authors and Affiliations
Muhsin Kalyoncuoğlu, Semi Öztürk, Gündüz Durmuş, Mustafa Sarı, Mehmet Mustafa Can
Keywords
Related Articles
- EP ID EP228085
- DOI 10.4274/haseki.3321
- Views 95
- Downloads 0
Alterations in Biomechanical Properties of the Cornea After Selective Laser Trabeculoplasty
Aim: To investigate changes in corneal biomechanical properties after selective laser trabeculoplasty (SLT). Methods: Patients who have received SLT and underwent evaluation of corneal biomechanical properties by ocular...
Effect of Intraoperative Neuromonitoring on Voice Quality in Total Thyroidectomy
Aim: Thyroid gland surgery has a risk of serious complications. Advancements in technology have led to improvements in complications but significant challenges to preserving voice and airway function still remain. The pu...
Problems About the Use of C-Arm Fluoroscopy in Proximal Femoral Nailing Surgery
Aim: It was aimed to determine the amount of wasted time and radiation exposure in intertrochanteric femur fracture surgeries for the use of C-arm fluoroscopy device during surgery. Methods: Records of 62 patients sustai...
Reconstruction of Partial Vermilion Defects with Mucosal Transposition Flap
Aim: Lip, located in lower 1/3 of the face, is very important unit from aesthetic and functional aspect. Vermilion is a subunit of the lip and also has aesthetic and sensorial functions. Following the trauma and cancer s...
Assessment of Effects of Thyrotoxicosis on Gallstone Formation in Rabbits
Aim: The etiopathogenesis of gallstone formation is well known, but only a few studies have investigated the effects of thyrotoxicosis on gallstone formation. In this study, we investigated the contribution of thyrotoxic...