Successful percutaneous transvenous retrieval of intravascular fractured port catheter: a single center experience

Abstract

Background: Fractured catheter as a foreign body in situ is a rare complication after port catheter placement. We report a single center's experience on percutaneous transvenous retrieval of intravascular fractured port catheter and treatment techniques. Methods: Patients undergoing percutaneous transvenous retrieval of intravascular fractured port catheter from Jan 2010 to Dec 2018 were retrospectively collected. A total of 10 patients (8 females and 2 males) were enrolled in this study. Procedures were performed within 1 day after diagnosis. Two methods of retrieval were considered, direct retrieval by gooseneck snare and guide wire as media to retrieve were used in the procedure. Results: All the fractured catheters in 10 patients were successfully retrieval by 2 methods, direct retrieval by gooseneck snare(n = 6) and guide wire as media of retrieval(n = 4). The time interval between port catheter implantation and discovery of catheter fracture was 36.50 ± 42.99(ranged 1 to 146) days. The operation time was 24.10 ± 8.32(ranged 10 to 36) minutes. No immediate procedure related or 1 month follow-up complications occurred in all the 10 patients. Conclusion: Percutaneous transvenous retrieval of intravascular fractured port catheter is a simple and safe procedure, which maybe recommended as the first choice for patients with fractured port catheter in situ.

Percutaneous Retrieval of Dislodged Chemo Port Catheter With Inaccessible Tips by a Simplified Technique

“…However, in two of 25 patients, snaring failed, and the procedures were completed using grasping and myocardial biopsy forceps. A similar 100% success rate of percutaneous retrieval has also been reported by Li et al in a 10-patient series [ 11 ]. The procedures have been documented to be safe with no major periprocedural complications.…”

Chemotherapy delivering port catheter fracture and migration into the heart: a life-threatening accident during neck dissection

“…14 Percutaneous retrieval of the catheter using femoral vein access is the gold standard and successful method in the majority of cases. 18 The reported success rate of endovascular retrieval in the literature reached 94%. 19 Due to the potentially fatal complications, extraction of the foreign body by open thoracotomy is needed in case of failure of percutaneous retrieval.…”

“…19 Due to the potentially fatal complications, extraction of the foreign body by open thoracotomy is needed in case of failure of percutaneous retrieval. 18…”

Retrieval of fragmented peripherally inserted central catheter (PICC) with a double transfemoral access technique

“…For vascular catheter fragment recovery, there are several techniques including use of pigtail catheter or gooseneck snare 1,2 . We describe the case of a PICC fragment migrated into lower branch of right pulmonary artery Figure 1Retrieval using a pigtail catheter and a gooseneck snare inserted at the same time with a double transfemoral access.…”

“…The authors propose the simultaneous use of two different approaches for the recovery of a CVC fragment from the pulmonary artery.For vascular catheter fragment recovery, there are several techniques including use of pigtail catheter or gooseneck snare. 1,2 We describe the case of a PICC fragment migrated into lower branch of right pulmonary artery Figure 1Retrieval using a pigtail catheter and a gooseneck snare inserted at the same time with a double transfemoral access. The pigtail catheter was used to withdraw the catheter from the pulmonary artery, while at the same time, the gooseneck snare was used to grasp the end of fractured catheter to prevent blood flow from returning the fragment to the pulmonary artery Video S1.…”