Document Detail

Retrieval of an IV catheter fragment from the pulmonary artery 11 years after embolization.
MedLine Citation:
PMID:  10767267     Owner:  NLM     Status:  MEDLINE    
The use of a peripherally inserted central catheter (PICC) is occasionally complicated by intravascular fracture and central embolization of the catheter fragment. We present a patient in whom a PICC fragment was retrieved from the pulmonary artery 11 years after embolization following its incidental detection. Despite a history of IV drug abuse and mitral regurgitation, this patient remained asymptomatic and without complications. The catheter fragment was retrieved since the patient was believed to be at risk for endocarditis. This may be the longest duration reported of an embolized catheter fragment that was successfully removed. As the natural history of asymptomatic-retained central venous foreign bodies remains unclear, the decision to remove them should be individualized. In selected cases, these foreign bodies may be retrieved without complications even several years after embolization.
S Thanigaraj; A Panneerselvam; J Yanos
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Chest     Volume:  117     ISSN:  0012-3692     ISO Abbreviation:  Chest     Publication Date:  2000 Apr 
Date Detail:
Created Date:  2000-05-11     Completed Date:  2000-05-11     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0231335     Medline TA:  Chest     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1209-11     Citation Subset:  AIM; IM    
Cardiovascular Division, Washington University, St. Louis, MO 63110, USA.
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MeSH Terms
Catheterization, Central Venous / instrumentation*
Equipment Failure
Foreign Bodies / radiography,  surgery*
Pulmonary Artery*
Pulmonary Embolism / etiology*,  radiography,  surgery
Time Factors
Vascular Surgical Procedures* / methods

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