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Retained radial artery catheter fragment
1Department of Cardiovascular Services, The Queen Elizabeth Hospital, Bridgetown, St. Michael, Barbados.
Oxford Medical Case Reports
|June 11, 2024
Summary
Fracture of a radial arterial catheter is a rare complication. This case highlights the need for meticulous care during arterial line procedures to prevent retained fragments and ensure patient safety.
Area of Science:
- Medical Devices
- Patient Safety
- Surgical Complications
Background:
- Arterial lines are crucial for hemodynamic monitoring in critical care.
- Complications from arterial line placement are generally infrequent, typically below 1%.
Observation:
- A rare complication involving radial arterial catheter fracture and proximal migration occurred.
- Surgical intervention was required for the removal of the retained catheter fragment.
Findings:
- This case represents the first instance of radial arterial catheter fracture at the institution.
- The retained fragment migrated proximally, necessitating surgical removal.
Implications:
- Reinforces the critical importance of meticulous technique in arterial line placement, securing, and removal.
- Highlights the potential for rare but serious complications requiring surgical intervention.
- Emphasizes the need for heightened vigilance and attention to detail in managing arterial catheters.
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