Retrieval of port-A catheter fragment from the main and right pulmonary arteries 3 years after dislodgment

Area of Science:

• Vascular surgery
• Interventional radiology
• Oncology

Background:

• Vascular access (VA) is crucial for chemotherapy delivery in cancer patients.
• Complications associated with VA devices can significantly impact patient care and outcomes.

Observation:

• Catheter fractures and subsequent cardiac migration of fragments are rare but serious VA complications.
• Fragment migration can lead to lodging in major intrathoracic vessels and cardiac chambers.

Findings:

• Percutaneous retrieval is the recommended initial approach for managing migrated catheter fragments.
• Successful retrieval minimizes risks associated with retained foreign bodies in the cardiovascular system.

Implications:

• Highlights the importance of vigilance in monitoring VA devices in chemotherapy patients.
• Emphasizes the efficacy of minimally invasive techniques for managing rare VA complications.
• Informs clinical practice regarding the management of intravascular catheter fragment migration.