Rupture d’un cathéter péridural, devenir de l’extrémité laissée en place. À propos d’un cas

Gehan, G.; Mongolfier, R. De; Coulon, J.-M.; Mahanna, B.; Bahloul, H.

doi:10.1016/j.annfar.2010.03.004

Cited by 2 publications

(2 citation statements)

References 9 publications

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“…From our review, 15 (41.6%) catheters were retained during removal, [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16] and 8 (22.2%) catheters could not be removed due to knotting. [17][18][19][20][21][22][23] Knotted catheters mostly involved excessive lengths threaded during insertion ranging 4 to 17 cm with a median length of 7 cm.…”

Section: Potential Mechanisms and Risk Factorsmentioning

confidence: 99%

See 1 more Smart Citation

Retained epidural catheter: an update

Tan,

Balashanmugam,

Ahmad Shah

et al. 2023

MYJA

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The retained catheter fragment is a rare complication when performing epidural techniques. There is a paucity of studies available, with Australian data quoting an incidence of 1 in 60,000. For this article, we reviewed 36 case reports of retained epidural catheters between 1995 and 2020. The case reports found computed tomography scans to be the most reliable modality to investigate a retained epidural catheter. The decision to surgically remove or treat conservatively should be multidisciplinary with most operations involving symptomatic or long fragments. In our review, we found 25 (69.4%) reports of surgical removal, with 21 opting for immediate removal. Conservatively treated retained fragments should be monitored for neurological or infective complications. Patients should receive a follow-up plan and be educated regarding red flag symptoms to facilitate further management. For future reference, a detailed documentation of the incident, parties involved, discussions, and decisions should be made.

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Section: Potential Mechanisms and Risk Factorsmentioning

confidence: 99%

“…7,10,26 In our review, 9 CT scans were performed with 7 (77.8%) scans correctly identifying the catheter. [7][8][9][10][11][12][13]26,27 However, the radio-opaque nature of most catheters would justify a simple radiograph in the absence of CT scan. All 6 case reports where X-rays were performed located the catheter.…”

Section: Radiological Investigationmentioning

confidence: 99%

Retained epidural catheter: an update

Tan,

Balashanmugam,

Ahmad Shah

et al. 2023

MYJA

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Knotted epidural catheter: the role of determining a catheter’s ultimate tensile strength before pulling on it. A case report and literature review

Orfi¹,

Dewandre²,

Brichant³

2020

Acta Anaest Belg

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Knotting is a well-known but rare complication of the use of epidural catheters. We report the case of a knotted catheter successfully removed by simple traction, after determining its ultimate tensile strength. We reviewed the case reports published since 1979. We assessed the prevalence of this complication, the impact of placement technique on a knot’s occurrence, the value of the different imaging modalities, and the one of various techniques used for catheter removal. A knotted catheter can often be removed intact with steady and gentle traction. Before pulling on an entrapped catheter and to avoid breakage, it may be useful to assess its ultimate tensile strength on its free extremity or another identical catheter. Limiting the length of a catheter threaded in the epidural space during its insertion seems to be the best way to avoid knots.

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Rupture d’un cathéter péridural, devenir de l’extrémité laissée en place. À propos d’un cas

Cited by 2 publications

References 9 publications

Retained epidural catheter: an update

Retained epidural catheter: an update

Knotted epidural catheter: the role of determining a catheter’s ultimate tensile strength before pulling on it. A case report and literature review

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