Document Detail

Accidental migration of ASH-split catheter during central venous catheter replacement: retrieval using an interventional radiology approach.
MedLine Citation:
PMID:  17638263     Owner:  NLM     Status:  In-Data-Review    
Catheter fracture and embolization of the distal fragment are well-known complications of subclavian central venous long-term cannulation. In hemodialysis it is an exceptional event. We report a case of accidental rupture of a cuffed hemodialysis catheter with distal migration of a fragment during a procedure of catheter exchange via guide-wire. According to most reported cases, intravascular catheter separation usually occurs completely asymptomatically; our report confirms that catheter embolization itself is usually asymptomatic. Less than one third of the literature-reported cases have associated symptoms, such as palpitations or chest discomfort. Once diagnosed, treatment is an interventional radiological approach, which has a very high success rate. The replacement of permanent cuffed hemodialysis catheters via guide-wire is a delicate procedure and if catheter embolization is diagnosed, the patient must be referred to a center with specific experience in the retrieval of intravascular objects.
S Galli; A Zollo; F Cavatorta; P Gazzo
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The journal of vascular access     Volume:  2     ISSN:  1129-7298     ISO Abbreviation:  J Vasc Access     Publication Date:    2001 Apr-Jun
Date Detail:
Created Date:  2007-07-19     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100940729     Medline TA:  J Vasc Access     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  64-7     Citation Subset:  -    
Department of Nephrology and Dialysis, General Hospital, Imperia - Italy.
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