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A modified loop snare technique for the retrieval of a dislodged central venous catheter
1Department of Cardiovascular Surgery, Tokyo Medical University Hachioji Medical Center, 1163 Tatemachi-chou, Tokyo, 193-0998, Japan.
Insights
Retrieving dislodged central venous port catheters can be challenging. A modified loop snare technique, involving guidewire manipulation, offers a successful endovascular solution for catheter retrieval.
Area of Science:
- Vascular Surgery
- Interventional Cardiology
- Medical Device Retrieval
Background:
- Central venous port catheters are essential for long-term therapies but can become dislodged.
- Endovascular retrieval is the standard approach, yet it presents significant challenges for clinicians.
Observation:
- A case of a dislodged central venous port catheter is presented.
- The dislodged catheter required a specialized retrieval technique.
Findings:
- A modified loop snare technique successfully retrieved the dislodged catheter.
- This involved reversing the guidewire tip within the right ventricle and guiding it into the snare.
Implications:
- The modified loop snare technique provides a viable and effective method for managing dislodged central venous port catheters.
- This approach can improve patient outcomes and reduce procedural complications in vascular interventions.
Abstract:
A dislodged central venous port catheter is typically retrieved using an endovascular approach; however, the retrieval procedure poses a challenge for vascular specialists. The desired outcomes can be successfully achieved with the loop snare technique, an endovascular treatment method for the retrieval of a dislodged central venous port catheter. Herein, we present a case wherein the modified loop snare technique was used for successfully retrieving a dislodged central venous port catheter by reversing the tip of the guidewire inside the right ventricle and advancing it back into the snare.
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