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Creating Radio-cephalic Arteriovenous Fistula in the Forearm with a Modified No-Touch Technique
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A Foreign Body in the Cephalic Vein: Broken Piece of Intravenous Cannula

Ayesha Masood1, Muhammad Jamil Malik1, Muhammad Irfan Khan1

  • 1Vascular Surgery, Combined Military Hospital Rawalpindi, Rawalpindi, PAK.

Cureus
|November 22, 2021
PubMed

Insights

A rare complication of peripheral intravenous cannulation involves a fractured IV cannula inside a vein. This case report details successful retrieval using a Fogarty catheter, emphasizing imaging and tourniquet use to prevent pulmonary embolism.

Area of Science:

  • Vascular Surgery
  • Medical Device Complications
  • Interventional Radiology

Background:

  • Peripheral intravenous cannulation is a common medical procedure.
  • Complications, though rare with expert care, can occur.
  • Fracture of an intravascular cannula is a serious, albeit infrequent, complication.

Observation:

  • A case of a fractured cannula fragment within the cephalic vein is presented.
  • The fragment posed a risk of pulmonary embolism.
  • Preoperative imaging and a tourniquet were crucial for successful retrieval.

Findings:

  • A broken piece of an intravenous cannula was successfully removed from the cephalic vein.
  • A Fogarty catheter was utilized for the retrieval.
  • Preoperative imaging precisely located the fragment, and a tourniquet prevented its distal migration.

Implications:

  • This case highlights the importance of prompt intervention for intravascular foreign bodies.
  • Surgical retrieval is recommended when expertise is available to prevent severe complications.
  • Preoperative imaging and specific techniques like tourniquet application can improve procedural success and safety.
Keywords:
catheterizationcephalic veinfractured intravenous cannulaintravascular foreign bodyperipheral/adverse effects"retained cannula

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