A modified two-step technique for the retrieval of a chemoport catheter fragment with inaccesible ends
Background Migration of central venous catheters is a rare but serious complication. The endovascular approach has been widely used for the retrieval of such fragment, with the two-step technique used for removal of catheter fragments with inaccessible ends. In this case report, we describe a modifi...
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| Published in: | CVIR endovascular Vol. 5; no. 1; p. 61 |
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| Main Authors: | , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
Cham
Springer International Publishing
05-12-2022
Springer Nature B.V SpringerOpen |
| Subjects: | |
| Online Access: | Get full text |
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| Summary: | Background
Migration of central venous catheters is a rare but serious complication. The endovascular approach has been widely used for the retrieval of such fragment, with the two-step technique used for removal of catheter fragments with inaccessible ends. In this case report, we describe a modification of this technique that was used after first attempting the two-step technique unsuccessfully.
Case presentation
A 42-year-old female with breast cancer had a chemoport inserted for chemotherapy. After 6 cycles of chemotherapy the port could not be flushed and a chest radiograph demonstrated a migrated catheter fragment. CT scan demonstrated that one end of the fragment was in the liver in the middle hepatic vein and the other in the right atrial appendage. A modified 2 step technique, using a pigtail catheter, hydrophilic wire and snare was used to remove this fragment.
Conclusion
In this case report we highlight a new modification of the 2-step technique that can be employed when the conventional 2 step technique does not work. |
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| Bibliography: | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
| ISSN: | 2520-8934 2520-8934 |
| DOI: | 10.1186/s42155-022-00342-x |