Korean J Intern Med.
2006 Sep;21(3):187-190. 10.3904/kjim.2006.21.3.187.
Transluminal Removal of a Fractured and Embolized Indwelling Central Venous Catheter in the Pulmonary Artery
- Affiliations
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- 1Department of Internal Medicine, Kosin University Gospel Hospital, Busan, Korea.
- 2Department of Diagnostic Radiology, Kosin University Gospel Hospital, Busan, Korea.
- 3Department of Internal Medicine, Busan Veterans Hospital, Busan, Korea. dhugie@naver.com
- KMID: 759846
- DOI: http://doi.org/10.3904/kjim.2006.21.3.187
Abstract
- 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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