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Retrieval of Embolized Intracardiac Peripherally Inserted Central Catheter Line: Novel Percutaneous Technique by
Arindam Pande1, Achyut Sarkar2, Imran Ahmed3
1Department of Cardiology, Apollo Gleneagles Hospital, Kolkata, West Bengal, India.
Insights
Embolized central venous catheters to the heart are a risk. A novel technique using flexible biopsy forceps successfully retrieved a long catheter without surgery, offering a new safe option.
Area of Science:
- Cardiology
- Interventional Radiology
- Medical Device Technology
Background:
- Peripheral catheter embolization to the heart, though uncommon, carries severe risks including thrombosis, infection, and potentially death.
- Percutaneous retrieval is the standard approach for these dangerous foreign bodies, with snaring being a common technique.
Observation:
- A 46 cm peripherally inserted central catheter (PICC) embolized to the heart presented a retrieval challenge.
- A novel, nonsurgical technique utilizing flexible biopsy forceps was employed for catheter removal.
Findings:
- The flexible biopsy forceps successfully and safely removed the long intracardiac PICC.
- This method represents a previously unreported approach to percutaneous retrieval of embolized catheters.
Implications:
- This case report introduces a new, potentially safer, and easier method for percutaneous retrieval of intracardiac foreign bodies.
- The flexible biopsy forceps technique expands the options for managing peripherally inserted central catheter embolization to the heart.
Abstract:
Peripheral catheter embolization to the heart is common but infrequently reported. In view of the hazardous complications of thrombosis, embolism, infection, arrhythmia and even death, percutaneous retrieval of such foreign bodies is usually attempted. Previously reported percutaneous technique of retrieval mainly involved the snaring technique. Herein, we report a novel nonsurgical retrieval technique for successful removal of a 46 cm long embolized intracardiac peripherally inserted central catheter by utilizing a flexible biopsy forceps. To the best of our knowledge, the use of flexible biopsy forceps for retrieval has hitherto been unreported and this case report therefore adds to the repertoire of percutaneous retrieval techniques for safe and easy removal of embolized catheters to the heart.
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