Percutaneous Endovascular Extraction of a Fractured Central Line Catheter From the Intracardiac Space Utilizing a Snare: A Case Report

经皮血管内套索取出断裂于心内腔的中心静脉导管:病例报告

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Abstract

Fracture and migration of a central venous catheter is an uncommon but serious complication. Fragments can embolize to the right atrium or ventricle, potentially causing life-threatening arrhythmias, pseudoaneurysms, perforations, or thromboembolism. We present the case of a 44-year-old woman with a fractured catheter from a prior insertion for buccal mucosa carcinoma. Fluoroscopy revealed the fragment in the right atrium, and it was successfully retrieved via a percutaneous endovascular approach using a snare, without immediate complications. This case highlights the efficacy and safety of endovascular retrieval for such critical events.

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