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Considerations in catheter retrieval from the arterial system
Irwin M Best1, Karin L Butler, Harvey L Bumpers
1Department of Radiology, Emory University, School of Medicine, Atlanta, GA, USA. irwin-best@emoryhealthcare.org
Cardiovascular and Interventional Radiology
|March 18, 2005
Summary
Catheter fracture during cardiovascular procedures can lead to intravascular retention. Percutaneous retrieval attempts were unsuccessful in this case, highlighting potential dangers.
Area of Science:
- Cardiovascular Medicine
- Interventional Cardiology
- Medical Device Technology
Background:
- Catheter-based interventions are standard for diagnosing and treating cardiovascular diseases.
- Despite advancements, catheter separation or fracture remains a risk.
- This complication can result in serious issues like embolization or intravascular retention.
Observation:
- A case of catheter separation occurred during antegrade access via the common femoral artery.
- The fractured catheter segment was visible on fluoroscopy.
- Initial attempts at percutaneous catheter recovery were unsuccessful.
Findings:
- Surgical exploration confirmed complete intravascular retention and impaction of the fractured catheter.
- The case highlights the challenges in retrieving retained catheter fragments.
Implications:
- Physicians must be aware of the potential for catheter fracture during cardiovascular procedures.
- Percutaneous retrieval of fractured catheters can be challenging and may fail.
- Avoiding the dangers associated with percutaneous recovery of retained catheter fragments is crucial.