Related Experiment Video

Updated: May 8, 2026

Computed Tomography (CT) Guided Implantation of a Totally Implantable Venous Access Port (TIVAP) through Subclavian Vein
05:51

Computed Tomography (CT) Guided Implantation of a Totally Implantable Venous Access Port (TIVAP) through Subclavian Vein

Published on: January 13, 2026

The successful withdrawal of a migrated central venous catheter

Hassan Zamani1, Kazem Babazadeh, Rahman Ghaffari

  • 1Non-Communicable Pediatric Diseases Research Center, Babol University of Medical Sciences, Babol, Iran.

Caspian Journal of Internal Medicine
|September 7, 2013
PubMed

Insights

A fractured central venous catheter (CVC) migrated to a child's heart, a rare complication. The catheter was successfully retrieved using fluoroscopy guidance and specialized tools.

Area of Science:

  • Pediatric Cardiology
  • Interventional Radiology

Background:

  • Central venous catheters (CVCs) are widely used in pediatric patients for chemotherapy and total parenteral nutrition (TPN).
  • Catheter fracture and migration represent a rare but serious complication associated with CVC use.

Observation:

  • A case of a 2.5-year-old girl with a fractured CVC that migrated into the heart is presented.
  • The fractured catheter fragment was successfully retrieved from the inferior vena cava using a snare-catheter technique under fluoroscopic guidance.

Findings:

  • The retrieval procedure involved placing an 8F sheath into the inferior vena cava via the femoral vein.
  • The fractured catheter was trapped, freed proximally, snared, and exteriorized through the femoral vein, followed by surgical cut-down.

Implications:

  • This case highlights the importance of recognizing and managing CVC-related complications.
  • Fluoroscopy-guided retrieval is a safe and effective method for managing intracardiac foreign bodies like fractured CVCs.
Abstract

Keywords:
Cardiac embolizationCentral Venous CatheterForeign bodySnare

More Related Videos

A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit09:57

A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit

Published on: July 13, 2019

Related Concept Videos

Venous Thrombosis III: Interprofessional Care01:29

Venous Thrombosis III: Interprofessional Care

Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
Parentral Nutrition: Centeral and Peripheral Parental Nutrition01:27

Parentral Nutrition: Centeral and Peripheral Parental Nutrition

Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
Cardiac Catheterization IV: Nursing Management01:26

Cardiac Catheterization IV: Nursing Management

Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
Suctioning the Nasopharyngeal Airway01:29

Suctioning the Nasopharyngeal Airway

Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Tracheostomy Decannulation01:21

Tracheostomy Decannulation

Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...