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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
PubMed

Insights

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.

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