Percutaneous retrieval of a fractured dialysis catheter using a balloon

2017 ◽  
Vol 18 (4) ◽  
pp. e42-e44 ◽  
Author(s):  
Su Nam Lee ◽  
Min Seop Jo ◽  
Ki-Dong Yoo

Intravascular foreign bodies can cause serious complications and catheter fracture with or without embolization is a rare, serious event. Intravascular fragments from broken catheters can be retrieved percutaneously or surgically, and should be removed as soon as possible to prevent further lethal complications. A gooseneck loop snare is the most popular device for endovascular retrieval of intravascular foreign bodies. Herein, we present the first report of successful percutaneous retrieval of a fractured catheter using a balloon.

2016 ◽  
Vol 51 (1) ◽  
pp. 33-35
Author(s):  
Arun Sharma ◽  
Sharmila Duraisamy ◽  
Priya Jagia ◽  
Gurpreet S. Gulati

Intracardiac or intrapulmonary dislodgement of dialysis catheter or guidewire coating is extremely rare. When present, it can be potentially lethal as it may get complicated by arrhythmias, myocardial or pulmonary artery rupture, valvular perforation, pulmonary thromboembolism, infarction, and infective endocarditis. Percutaneous removal should be attempted as an initial measure and is usually effective in most of the cases. We report 2 such cases, where in first patient it was the hemodialysis catheter which broke, with a large part migrating into the heart, while in second patient, it was the hydrophilic coating of the guidewire that migrated into the pulmonary arteries. Percutaneous retrieval of these foreign bodies was done successfully in both the cases.


2018 ◽  
Vol 20 (1) ◽  
pp. 87-94 ◽  
Author(s):  
Umberto G Rossi ◽  
Gian Andrea Rollandi ◽  
Anna Maria Ierardi ◽  
Alessandro Valdata ◽  
Francesco Pinna ◽  
...  

The presence of an intravascular foreign body represents a well-known risk of serious complications. While in the past surgical removal of intravascular foreign body was the most common intervention, nowadays a percutaneous approach in the retrieval of an intravascular foreign body is widely accepted as the first-line technique. In the literature, many case reports describe different techniques and materials. This article summarizes and illustrates the main materials and techniques currently applied for percutaneous retrieval of intravascular foreign body, providing a simplified tool with different interventional possibilities, adaptable to different clinical situations.


2011 ◽  
Vol 42 (1) ◽  
pp. 24-31 ◽  
Author(s):  
Anne Marie Cahill ◽  
Deddeh Ballah ◽  
Paula Hernandez ◽  
Lucia Fontalvo

2017 ◽  
Vol 9 (7) ◽  
pp. e26-e26
Author(s):  
Kenneth Moore ◽  
Nickalus R Khan ◽  
L Madison Michael ◽  
Adam S Arthur ◽  
Daniel Hoit

Intravascular foreign bodies are a known complication of medical and dental procedures. Dental anesthetic needles may be broken off and retained in the oropharynx. These needles have occasionally been reported to migrate through the oral mucosa in to deeper structures. Here we present the case of a 57-year-old man who had a retained dental needle that had migrated into his internal carotid artery. The needle was removed using endovascular techniques. To our knowledge, this is the first report of a retained dental needle being retrieved using this method. We review the literature on intravascular foreign bodies, retained dental needles, and endovascular techniques for retrieval of such foreign bodies.


Radiology ◽  
1992 ◽  
Vol 182 (1) ◽  
pp. 283-284 ◽  
Author(s):  
S Furui ◽  
T Yamauchi ◽  
K Makita ◽  
K Takeshita ◽  
T Irie ◽  
...  

1984 ◽  
Vol 142 (2) ◽  
pp. 367-368 ◽  
Author(s):  
WH Bush ◽  
RE Crane ◽  
GE Brannen

2021 ◽  
Vol 10 (4) ◽  
pp. 180-182
Author(s):  
Hossein Farshidi ◽  
Moazameh Mohammadi Soleimani ◽  
Dariush Hooshyar

Background: Long-term use of central venous catheters is common in cancer patients for chemotherapy. The remaining of these catheters after the end of the treatment period can be associated with complications such as thrombosis and catheter fragmentation. Case Report: This report presents a 42-year-old woman with a history of colon cancer whose inner part of the vascular access was detached from the outer part after removing the central venous catheter, and the catheter remained inside the internal jugular vein. After preparing the patient’s chest X-ray, the catheter was removed from the femoral vein by percutaneous retrieval and successfully taken out using the snaring technique. Conclusion: Overall, percutaneous retrieval is a safe way to remove intravascular foreign bodies that can prevent major surgical complications.


2016 ◽  
Vol 52 (6) ◽  
pp. 392-397 ◽  
Author(s):  
Zoe Reed ◽  
Clinton Doering ◽  
Paul M. Barrett

ABSTRACT A 9 yr old rat terrier presented with corneal ulceration and conjunctivitis that developed acutely after digging among dry leaves in wooded northern Arizona. Ophthalmic examination revealed multiple linear foreign bodies throughout the adnexal tissue and cornea of the left eye. Manual removal of material was unsuccessful. The palpebral conjunctiva required excision with tenotomy scissors to remove structures and allow corneal healing. Microscopic examination revealed structures believed to be setae from a Theraphosidae tarantula. This was confirmed morphologically by an entomologist and by comparison with hairs from a captive spider of the suspected species. The excised tissue also contained fruiting bodies, hyphae, and microconidia consistent with Aspergillus spp. The captive spider hairs also cultured positive for Aspergillus, suggesting a relationship between this fungus and tarantulas in captivity and in their native habitat. This is the first report in the veterinary literature to confirm tarantula hair as the causative agent in keratoconjunctivitis and corneal ulceration, adding it to the list of differential diagnoses for ocular foreign body. This is also the first report to suggest a relationship between Aspergillus and tarantulas of the Theraphosidae family, which should be considered in the diagnostics and treatment of patients with suspected tarantula hair keratoconjunctivitis.


Author(s):  
Tugce Unalan ◽  
Alper Karagoz ◽  
Cihangul Bayhan ◽  
Yasemin Ozsurekci ◽  
Gulsen Hazirolan

Weeksella virosa is an atypical Gram-negative bacterium that does not grow on MacConkey agar. In this report, we present a 4-year-old female patient with Addison’s disease and end-stage renal failure secondary to focal sclerosing glomerulosclerosis. Continuous ambulatory peritoneal dialysis had been performed, and 3 months later, the patient developed fever, diarrhea, and vomiting. Peritoneal fluid culture and dialysis fluid culture were positive for W. virosa. It was identified with Phoenix (BD, USA) and confirmed via 16S rRNA sequencing. It cannot be identified by Maldi Biotyper (Bruker). The isolate was found to be resistant to cephalosporins, ciprofloxacin, and amikacin by gradient test. Intraperitoneal cefepime was initiated but since antimicrobial susceptibility testing revealed cephalosporin resistance, therapy was changed to intraperitoneal meropenem. Following the removal of peritoneal dialysis catheter, fever, abdominal distention, and vomiting were resolved. Piperacillin, aztreonam, and carbapenems can be used for empirical therapy. Antimicrobial susceptibility testing should be performed to guide the choice of treatment. Removal of peritoneal dialysis catheter is an important step of management of this infection. To our knowledge, this is the first report of W. virosa in a pediatric patient and first report from Turkey.


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