Removal of central venous port-catheter by the combination of interventional radiological procedures

We encountered a patient with an infection related to an implanted central venous port-catheter that necessitated removal of the system. As the catheter had tightly adhered to the venous wall, removal was impossible with standard methods. After trial and error, we used a guiding catheter that was ad...

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Bibliographic Details
Published in:Minimally invasive therapy and allied technologies 2023-02, Vol.32 (1), p.42-45
Main Authors: Togami, Kouki, Yoshimatsu, Rika, Yamanishi, Tomoaki, Maeda, Hitomi, Izumi, Takayasu, Miyatake, Kana, Matsumoto, Tomohiro, Yamagami, Takuji
Format: Article
Language:English
Subjects:
Catheterization, Central Venous - adverse effects
Catheterization, Central Venous - methods
Catheters, Indwelling
Device Removal
Equipment Failure
Humans
Radiology, Interventional
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Summary:We encountered a patient with an infection related to an implanted central venous port-catheter that necessitated removal of the system. As the catheter had tightly adhered to the venous wall, removal was impossible with standard methods. After trial and error, we used a guiding catheter that was advanced over the implanted catheter to detach the fibrin sheath on the implanted catheter that had adhered to the vessel wall. At that time, a pull-through technique was used. After we succeeded in detaching the adhesion with the guiding catheter, we were able to withdraw the implanted catheter.
ISSN:1364-5706
1365-2931
DOI:10.1080/13645706.2022.2154612