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Where Did the Midline Catheter Disappear?
Michal Soták1,2, Viktor Čapek3, Tomáš Tyll1
1Department of Anesthesiology, Resuscitation and Intensive Care, First Faculty of Medicine of Charles University and Military University Hospital in Prague, Praha, Czech Republic.
Clinical Medicine Insights. Case Reports
|December 24, 2021
Summary
Intravascular catheter fragments can break off, even during routine care. This case shows a midline catheter fragment migrating to the pulmonary artery and successfully removed via a snare kit.
Area of Science:
- Vascular Surgery
- Interventional Cardiology
- Medical Device Complications
Background:
- Intravascular catheterization is a common medical procedure.
- Catheter fragment embolism is a rare but serious complication.
- Midline catheters are increasingly used for vascular access.
Observation:
- A case of intravascular breakage of a midline catheter is reported.
- The breakage occurred during a wound dressing change.
- The catheter fragment migrated to the pulmonary artery.
Findings:
- The broken midline catheter fragment was successfully retrieved percutaneously.
- A snare kit was utilized for the percutaneous removal.
- This demonstrates a minimally invasive approach to managing catheter embolism.
Implications:
- Highlights the risk of catheter breakage even with midline catheters.
- Emphasizes the importance of vigilance during catheter care and maintenance.
- Percutaneous retrieval using snare kits is an effective treatment for intravascular catheter fragments.
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