J Korean Radiol Soc.  2007 Dec;57(6):519-523. 10.3348/jkrs.2007.57.6.519.

Radiologic Interventional Retrieval of Retained Central Venous Catheter Fragment in Prematurity: Case Report

• Park JW
• Jo JH
• Park BH

• KMID: 1945351
• DOI: http://doi.org/10.3348/jkrs.2007.57.6.519

Abstract

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.

Keyword

Premature infant; Indwelling catheters; Equipment failure; Central venous catheterization; Catheter ablation

MeSH Terms

Catheter Ablation
Catheterization, Central Venous
Catheters
Catheters, Indwelling
Central Venous Catheters*
Contrast Media
Embolism, Air
Equipment Failure
Humans
Infant, Newborn
Infant, Premature
Contrast Media