Abstract
Long-term use of intravenous catheters can lead to catheter fracture and embolization of fragments. Transcutaneous retrieval of these catheter fragments can be challenging because of their fragility. We report an 8-year-old boy with Hemophilia disease who underwent removal of intravenous Port catheter after 7 years of use, resulting in embolization of fractured catheter fragments into the distal pulmonary arteries. The snare technique to pull the snared fragment into a sheath was unsuccessful, and it leads to further breakdown due to its fragility. An alternative technique using a combination of a snare kit and a Spider FX™ Embolic Protection Device was employed. This technique allowed the fragments to be secured proximally with the basket device and distally with the snare. The unit was then pulled through a sheath and removed from the body. To our knowledge, Spider FX™ Device has not been used in this way before.
Original language | English |
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Pages (from-to) | 467-471 |
Number of pages | 5 |
Journal | Catheterization and Cardiovascular Interventions |
Volume | 86 |
Issue number | 3 |
DOIs | |
State | Published - Sep 1 2015 |
Keywords
- catheter embolization
- embolic protection device
- pediatric intervention
- removal of foreign body
- spider FX™