Atraumatic, Nonsurgical Technic for Removal of Broken Catheters from Cardiac Cavities

Massumi, Rashid A.; Ross, Allan M.

doi:10.1056/nejm196707272770407

Cited by 102 publications

(15 citation statements)

References 5 publications

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“…Cases of perforation of the heart and pulmonary embolism have usually occurred early following catheter embolism, but this has not necessarily been so, as perforation was described by Brown and Kent (1956) 63 days after detachment, and pulmonary embolism first occurred after I year in the patient described by Massumi and Ross (1967). On the other hand, several patients have been noted to suffer no complications over several years, and no case is on record where complications have first occurred after z years.…”

Section: Discussionmentioning

confidence: 98%

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Catheter emboli to the heart and pulmonary artery

Graham

Barratt‐Boyes

Cole

1970

British Journal of Surgery

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SUMMARY~~~~~i~~~~~ with intracardiac catheter embolus in 6 patients over a &year period is reported, and a brief review of the literature made.Thi:j communication reports our experience with catheter embolus in 6 patients, in 2 of whom there was bacterial endocarditis. In each case successful remov.al was carried out. CASE REPORTSF~~~~~ bodies which reach the interior of the humanIn 5 children, portions of a ventriculo-atrial (Spitzbecome detached. Their ages ranged from 18 months to investigation or treatment. Catheter embolus was yearri, and the average length of time the tubing had first described in a n experimental animal by Tuell, been known be detached was months in of the Martin, and Laufman in 1948, and since that time a children. In the remaining child it had been known to be number of reports have been made. free for 7 years. All catheters were radio-opaque, and heart during peacetime are almost always a result of Holter:l shunt inserted because of hydrocephalus had were located preoperatively by plain radiography. In only I patient of these 5 was there clear evidence of endocarditis with repeated blood-cultures of Aerobacter aerogenes.In each of these children removal was advised and this was carried out under hypothermia with inflow occlusion. In thi:i procedure the anaesthetized child was cooled by surface cooling to 33" C. with drift to 30-3 I ' C. The heart was exposed by midline sternotomy and after taping the vena cavae, inflow occlusion was established and the foreign body removed. One catheter was in the right atrium, 3 in the right ventricle, and 2 in the pulmonary artery. Periods of inflow occlusion varied from I min. 20 sec to 4min. Rewarming was by surface heating and the postoperative condition was satisfactory in all. In the child where Aerobacter infection had been established., this disauueared following the removal of the catheter and did nit recur, althougTh the child died 3 years later from the effects of hydrocephalus.

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Section: Discussionmentioning

confidence: 98%

“…Smyth, Boivin, and Bacos (1968) reported a patient in whom removal was successful shortly after positive 1968; Massumi and Ross, 1967). We have had no experience with these techniques.…”

Section: Discussionmentioning

confidence: 99%

Catheter emboli to the heart and pulmonary artery

Graham

Barratt‐Boyes

Cole

1970

British Journal of Surgery

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“…The snare technique is the most widely used in the removal of foreign bodies when one of their ends is accessible with a snare 7,8 . The hook technique is used [to retrieve] fragments without free ends.…”

Section: Discussionmentioning

confidence: 99%

Retirada percutânea de corpo estranho intracardíaco com técnica original

Martins

Faria

2007

Arq. Bras. Cardiol.

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We report on the case of a patient with a long term vascular catheter embolized into the right ventricle. This case had unique characteristics since both ends of the catheter were inaccessible for snare, which made it difficult to capture them using conventional techniques. We describe a new method to retrieve the foreign body through its mid-point portion, using a single catheter with two independent snare and hook systems.

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“…Various designs for snare retrieval apparatus have been devised including the doubled over guide wire technique as described in this report, single guide wires with a suture tied to the distal flexible end, and modifications of both these techniques (3)(4)(5)(6). Inherent in this technique is the requirement that a free fragment end be available to encircle.…”

Section: Discussionmentioning

confidence: 99%

Snare retrieval of a catheter fragment with inaccessible ends from the pulmonary artery

Greenfield

McMullan

Parisi

et al. 1978

Cathet. Cardiovasc. Diagn.

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Frequent use of central venous lines has led to an increasing problem with embolized catheter fragments which have become lodged in the right heart and pulmonary vasculature. Removal of catheter fragments is justified because of a high complication rate when they are left in situ. Using a snare retrieval apparatus catheter fragments may be quickly and easily removed. In the past year we have seen 3 patients with embolized catheter fragments. One case was unusual in that its transverse position in the pulmonary vasculature required initial dislodgement with a pigtail catheter before it could be successfully snared. The literature and our experience suggest that most, if not all, catheter fragments in the right heart and pulmonary circulation can be successfully retrieved without resorting to thoracotomy.

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Atraumatic, Nonsurgical Technic for Removal of Broken Catheters from Cardiac Cavities

Cited by 102 publications

References 5 publications

Catheter emboli to the heart and pulmonary artery

Catheter emboli to the heart and pulmonary artery

Retirada percutânea de corpo estranho intracardíaco com técnica original

Snare retrieval of a catheter fragment with inaccessible ends from the pulmonary artery

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