Transcutaneous removal of an intravenous catheter fragment using a spider FX™ Embolic Protection device

Heather Sowinski, Daisuke Kobayashi, Daniel R. Turner

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Long-term use of intravenous catheters can lead to catheter fracture and embolization of fragments. Transcutaneous retrieval of these catheter fragments can be challenging because of their fragility. We report an 8-year-old boy with Hemophilia disease who underwent removal of intravenous Port catheter after 7 years of use, resulting in embolization of fractured catheter fragments into the distal pulmonary arteries. The snare technique to pull the snared fragment into a sheath was unsuccessful, and it leads to further breakdown due to its fragility. An alternative technique using a combination of a snare kit and a Spider FX™ Embolic Protection Device was employed. This technique allowed the fragments to be secured proximally with the basket device and distally with the snare. The unit was then pulled through a sheath and removed from the body. To our knowledge, Spider FX™ Device has not been used in this way before.

Original languageEnglish
Pages (from-to)467-471
Number of pages5
JournalCatheterization and Cardiovascular Interventions
Volume86
Issue number3
DOIs
StatePublished - Sep 1 2015
Externally publishedYes

Keywords

  • catheter embolization
  • embolic protection device
  • pediatric intervention
  • removal of foreign body
  • spider FX™

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