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[Percutaneous removal of a brachiocephalic vein anchored venous catheter with wire loop and mini-laparoscopy
F Wacker1, D Cholewa, J Waldschmidt
1Abteilung für Radiologie und Nuklearmedizin, Klinikum Benjamin Franklin der Freien Universität Berlin. wacker@ukbf.fu-berlin.de
Purpose:
The use of mini-laparoscopy scissors to remove a central venous catheter inadvertently fixed to the wall of the brachiocephalic vein is described.
Patient And Methods:
During a rethoracotomy in a 15-year-old female patient, a central venous catheter preoperatively introduced in the left subclavian vein was inadvertently trapped by a suture and fixed to the wall of the left brachiocephalic vein. The foreign body was removed by use of a transjugularly introduced venous sheath, a catheter wire snare, and mini-laparoscopy scissors.
Results:
The fixed catheter was freed from the wall of the vein under fluoroscopic control with the help of a mini-laparoscopy scissors. Since the intravasal end of the catheter had already been grasped during mobilization with the wire snare it could be completely removed subsequently without any problem.
Conclusions:
The percutaneous, intravascular use of mini-laparoscopy instruments may be considered for foreign body removal in special cases.