ArticleFrontiers in surgery2025
Endovascular management of a fractured dialysis catheter: a case report and review of retrieval techniques.
Article in Frontiers in surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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5 authors.
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Abstract
Background: With the advancements in endovascular techniques, reports of rare vascular complications have increased. This case describes the accidental fracture of a non-cuffed hemodialysis catheter and its subsequent endovascular management, offering valuable insights for the treatment of similar intravascular foreign bodies (IFBs). Case report: An 83-year-old male with a non-cuffed catheter presented after a catheter fracture. Radiographic imaging confirmed migration of the fragment to the right atrium. After a multispecialistic collaboration assessment, endovascular retrieval was performed via right femoral access using a filter retrieval device under fluoroscopic guidance. The catheter fragment was successfully captured and removed without procedural complications. The patient recovered uneventfully and remained well at follow-up evaluations. Conclusion: This case highlights the efficacy and safety of percutaneous endovascular retrieval for managing IFBs, providing a minimally invasive alternative to surgery with high success rates. Meticulous catheter handling and regular integrity assessments are critical to prevent and promptly manage such events.
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