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Mechanics of a stuck central venous catheter removal
Olajire Idowu1, Jessica Brown2, Subin Kim1
1Division of Pediatric Surgery, UCSF Benioff Children's Hospital, Oakland, CA.
Abstract:
Although a surgical removal of tunneled central venous catheter is usually simple, it can become complicated when the catheter is found to be stuck because of its adherence within a central vein. If a catheter is pulled too hard, it may fracture within a central vein in two pieces. In this report, we describe the mechanics of central venous catheter breakage and provide a solution that minimizes the possibility of catheter from breaking as it is pulled out from its stuck position within a central vein.
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