Endovascular management of a fractured dialysis catheter: a case report and review of retrieval techniques

TL;DR

A case report describes the successful endovascular removal of a fractured dialysis catheter fragment from a patient's bloodstream.

Contribution

This case highlights the effectiveness of endovascular retrieval as a minimally invasive alternative to surgery for intravascular foreign bodies.

Findings

Endovascular retrieval successfully removed a catheter fragment from the right atrium without complications.

The procedure was performed via femoral access using a filter retrieval device under fluoroscopic guidance.

The patient recovered well and remained stable at follow-up, supporting the safety of this approach.

Abstract

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).

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.

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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