Percutaneous retrieval of a chronic catheter fragment from the left ventricle in a child

Area of Science:

• Pediatric Cardiology
• Interventional Radiology
• Medical Device Complications

Background:

• Catheter fragment embolization, though rare, poses a significant risk of life-threatening complications.
• Prompt retrieval of embolized catheter fragments from the cardiovascular system is typically necessary.

Observation:

• A pediatric patient presented with an embolized catheter fragment lodged in the left ventricle.
• The fragment had been in situ for 32 days, a prolonged period for such a complication.

Findings:

• Percutaneous retrieval of the left ventricular catheter fragment was successfully performed.
• A gooseneck snare catheter introduced via the femoral artery was utilized for the extraction.

Implications:

• This case highlights the feasibility of delayed percutaneous retrieval of cardiovascularly embolized catheter fragments in children.
• Successful retrieval demonstrates the efficacy of endovascular techniques even in challenging anatomical locations and after extended periods.
• The findings support the consideration of interventional approaches for managing delayed catheter emboli in pediatric patients.