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Published on: December 23, 2014
Cardiac arrhythmia due to subclavian catheter fracture and embolization
Jose Nazareno1, James A Elliott, Keith J C Finnie
1University of Western Ontarion, London, Canada.
Insights
Implanted venous access devices (VADs) are safe, but catheter fracture can occur. Early recognition and prompt treatment, as seen in this case, are crucial for safe VAD removal and patient outcomes.
Area of Science:
- Medical Devices
- Vascular Access
- Interventional Radiology
Background:
- Implanted venous access devices (VADs) are increasingly utilized in clinical settings.
- VADs are generally considered safe with a low complication rate.
Observation:
- Catheter fracture is a rare but serious VAD complication.
- This case highlights a clinical presentation leading to early recognition of catheter fracture and embolization.
Findings:
- Prompt identification of VAD catheter fracture and embolization is critical.
- Successful and safe removal of the fractured VAD was achieved.
Implications:
- This case underscores the importance of vigilance for rare VAD complications.
- Timely diagnosis and intervention can prevent life-threatening outcomes associated with VAD catheter fracture.
Abstract:
Implanted venous access devices (VADs) are being used with increasing frequency in clinical practice. The complication rate is low and VADs are generally accepted as being safe. Catheter fracture is a rare but potentially life-threatening complication that must be recognized and treated promptly. The present report discusses a case in which the clinical presentation led to early recognition of catheter fracture and embolization, and the subsequent safe removal of the VAD.
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