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Catheter fracture and migration into the coronary sinus--an unusual migration site: case report and review

Adib R Karam1, Mukbil H Hourani, Aghiad O Al-Kutoubi

  • 1Department of Diagnostic Radiology, American University of Beirut Medical Center, Bliss Street, P.O. Box 11-0236, Beirut, Lebanon.

Clinical Imaging
|February 25, 2009
PubMed

Insights

Catheter fracture is a rare complication. This case report details the first instance of catheter migration into the coronary sinus, successfully treated with a loop-snare technique.

Area of Science:

  • Cardiology
  • Medical Devices
  • Interventional Radiology

Background:

  • Catheter fracture and migration are infrequent but recognized complications associated with indwelling catheters.
  • Previous reports primarily describe migration occurring between the clavicle and first rib due to bony impingement.

Observation:

  • This report presents a unique case of a fractured catheter fragment migrating into the coronary sinus, a previously undocumented site.

Findings:

  • The fractured catheter segment was successfully retrieved from the coronary sinus using a minimally invasive loop-snare technique.
  • This highlights the potential for unusual migration pathways of fractured catheter fragments.

Implications:

  • The findings underscore the importance of vigilance for rare catheter migration complications, even in atypical locations.
  • Successful retrieval using the loop-snare technique offers a viable treatment option for such uncommon scenarios, improving patient outcomes.

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