Table of Contents Author Guidelines Submit a Manuscript
Case Reports in Cardiology
Volume 2016 (2016), Article ID 6294263, 6 pages
http://dx.doi.org/10.1155/2016/6294263
Case Report

Successful Retrieval of a Dismembered Central Venous Catheter Stuck to the Right Pulmonary Artery Using a Stepwise Approach

Department of Cardiology, Seirei Hamamatsu General Hospital, Shizuoka, Japan

Received 1 July 2016; Accepted 18 August 2016

Academic Editor: Man-Hong Jim

Copyright © 2016 Keisuke Nakabayashi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Recent advances in anticancer chemotherapy have resulted in an increase in the number of patients requiring a central venous port catheter, and the incidence of catheter pinch-off syndrome has been increasing. Catheter pinch-off syndrome is a rare and unusual complication. It is difficult to retrieve dislodged catheters from the pulmonary artery, especially if the catheter is stuck to the peripheral pulmonary artery. We herein describe the successful removal of a catheter stuck in the pulmonary artery with a stepwise approach. First, a pigtail catheter was used to tug the dislodged catheter in order to free the unilateral end. Then, a gooseneck snare was used to catch and pull the catheter out of the patient. The key to success is to free the end of the catheter.