A technique to retrieve an internalised embedded central venous catheter
Abstract Background Central venous catheters may become embedded due to the formation of adhesions between the indwelling catheter and the vein wall. Case presentation A 49-year-old patient with bacteraemia was referred for retrieval of an embedded internalised central venous dialysis catheter. Rece...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2024-02-01
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| Series: | CVIR Endovascular |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s42155-024-00436-8 |
| _version_ | 1797273089154744320 |
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| author | John Finnegan Pradeep Govender |
| author_facet | John Finnegan Pradeep Govender |
| author_sort | John Finnegan |
| collection | DOAJ |
| description | Abstract Background Central venous catheters may become embedded due to the formation of adhesions between the indwelling catheter and the vein wall. Case presentation A 49-year-old patient with bacteraemia was referred for retrieval of an embedded internalised central venous dialysis catheter. Recently the catheter had been surgically ligated at the venotomy site internalising the intravascular catheter component, which precluded antegrade ballooning through the catheter hub. Seldinger technique was used to access the catheter lumen within the left internal jugular vein and through and through access was established across the catheter. Retrograde endoluminal balloon dilation was performed to disrupt adhesions and free the catheter. The catheter was snared over the wire and removed from the right femoral vein. Conclusion This case report outlines an effective, minimally invasive retrieval method in a rare case of an embedded internalised central venous catheter. Graphical Abstract |
| first_indexed | 2024-03-07T14:38:36Z |
| format | Article |
| id | doaj.art-2df8db339ec441faac008e435466842a |
| institution | Directory Open Access Journal |
| issn | 2520-8934 |
| language | English |
| last_indexed | 2024-03-07T14:38:36Z |
| publishDate | 2024-02-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | CVIR Endovascular |
| spelling | doaj.art-2df8db339ec441faac008e435466842a2024-03-05T20:28:23ZengSpringerOpenCVIR Endovascular2520-89342024-02-01711510.1186/s42155-024-00436-8A technique to retrieve an internalised embedded central venous catheterJohn Finnegan0Pradeep Govender1Department of Radiology, Tallaght University HospitalDepartment of Radiology, Tallaght University HospitalAbstract Background Central venous catheters may become embedded due to the formation of adhesions between the indwelling catheter and the vein wall. Case presentation A 49-year-old patient with bacteraemia was referred for retrieval of an embedded internalised central venous dialysis catheter. Recently the catheter had been surgically ligated at the venotomy site internalising the intravascular catheter component, which precluded antegrade ballooning through the catheter hub. Seldinger technique was used to access the catheter lumen within the left internal jugular vein and through and through access was established across the catheter. Retrograde endoluminal balloon dilation was performed to disrupt adhesions and free the catheter. The catheter was snared over the wire and removed from the right femoral vein. Conclusion This case report outlines an effective, minimally invasive retrieval method in a rare case of an embedded internalised central venous catheter. Graphical Abstracthttps://doi.org/10.1186/s42155-024-00436-8Venous interventionDialysis accessCentral venous access |
| spellingShingle | John Finnegan Pradeep Govender A technique to retrieve an internalised embedded central venous catheter CVIR Endovascular Venous intervention Dialysis access Central venous access |
| title | A technique to retrieve an internalised embedded central venous catheter |
| title_full | A technique to retrieve an internalised embedded central venous catheter |
| title_fullStr | A technique to retrieve an internalised embedded central venous catheter |
| title_full_unstemmed | A technique to retrieve an internalised embedded central venous catheter |
| title_short | A technique to retrieve an internalised embedded central venous catheter |
| title_sort | technique to retrieve an internalised embedded central venous catheter |
| topic | Venous intervention Dialysis access Central venous access |
| url | https://doi.org/10.1186/s42155-024-00436-8 |
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