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Transjugular forceps retrieval of catheter embolus
The Annals of Thoracic Surgery
|June 1, 1980
Summary
Transvenous migration of intravenous catheters into the heart was successfully treated in 5 patients. A bronchoscopy forceps guided by fluoroscopy through the right jugular vein safely retrieved the embolized catheter fragments.
Area of Science:
- Cardiology
- Vascular Surgery
- Interventional Radiology
Background:
- Intracardiac migration of central venous catheters is a rare but serious complication.
- Previous retrieval methods have varied success rates and potential risks.
Observation:
- Five patients presented with intracardiac migration of intravenous catheters.
- The migrated catheters were located within the right atrium.
Findings:
- Transvenous retrieval was successfully performed in all 5 patients.
- A bronchoscopy forceps was utilized via the right internal jugular vein under fluoroscopic guidance.
- This technique allowed for safe and efficient embolus retrieval.
Implications:
- Transvenous retrieval using bronchoscopy forceps via the right internal jugular vein is a safe and effective method for managing intracardiac catheter emboli.
- This approach offers a direct route and precise control, potentially becoming a preferred technique.