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Foreign body pulmonary embolism.

Peter Rief1, Klara Belaj, Nicole Smaczny

  • 1Division of Angiology, Department of Internal Medicine, Medical University of Graz, Auenbruggerplatz 15, 8036, Graz, Austria.

Wiener Klinische Wochenschrift
|June 15, 2013
PubMed
Summary
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A fractured port-a-cath catheter tip caused a rare foreign body embolism. Retrieval using a gooseneck snare catheter was successful, leading to complete patient recovery.

Area of Science:

  • Vascular Surgery
  • Interventional Radiology
  • Medical Device Complications

Background:

  • Implanted port systems, such as the port-a-cath, are common for long-term venous access.
  • Catheter fracture and embolization are known, albeit infrequent, complications associated with these devices.
  • Prompt diagnosis and intervention are crucial for managing catheter emboli.

Observation:

  • A case is presented where a fragment from an explanted port-a-cath system embolized into the vasculature.
  • The patient presented with symptoms secondary to the foreign body embolus.
  • Imaging confirmed the presence and location of the embolic fragment.

Findings:

  • The foreign body embolus was successfully retrieved using a minimally invasive endovascular technique.

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  • A gooseneck snare catheter was employed for the safe removal of the embolic fragment.
  • The procedure was technically successful, with no immediate complications.

    • Implications:

    • This case highlights the importance of vigilance for catheter-related complications, even during explantation.
    • Endovascular retrieval is a safe and effective treatment for venous catheter emboli.
    • Minimally invasive techniques can resolve potentially serious complications from medical devices.