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Transradial Access Chemoembolization for Hepatocellular Carcinoma Patients
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Published on: September 20, 2020

Central venous catheter embolisation.

Elizabeth Harrison1, Simon Lal

  • 1Institute of Inflammation and Repair, Faculty of Medical and Human Sciences, University of Manchester, UK. elizabeth.harrison-3@manchester.ac.uk

BMJ Case Reports
|November 24, 2012
PubMed
Summary
This summary is machine-generated.

Fracture and embolisation of a tunnelled central venous catheter is rare but can occur. This case highlights the possibility of internal jugular catheter embolisation, requiring retrieval.

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Area of Science:

  • Vascular Surgery
  • Interventional Radiology
  • Gastroenterology

Background:

  • Tunnelled central venous catheters (CVCs) are vital for long-term therapies like home parenteral nutrition.
  • Catheter fracture and embolisation are uncommon complications, with subclavian placement historically posing a higher risk than internal jugular placement.

Observation:

  • A 64-year-old woman with chronic intestinal failure experienced pain and swelling during parenteral nutrition infusion.
  • Imaging revealed a fractured internal jugular CVC had embolised into the right ventricle.

Findings:

  • The fractured catheter segment was successfully retrieved percutaneously via the femoral vein.
  • The patient's catheter was replaced without immediate complication.

Implications:

  • This case underscores that internal jugular CVCs can fracture and embolise, contrary to some previous assumptions.
  • Awareness of this risk is crucial for clinicians managing patients with long-term CVCs.
  • Prompt diagnosis and endovascular retrieval are effective management strategies.