EURORAD ESR

Case 9424

Transjugular retrieval of a fractured port catheter from middle cardiac vein

Author(s)
Lin M-J1, Liu C-C2, Chiu C-M3
1The Division of Cardiology, 2The Division of Radiology and 3The Division of Colorectal Surgery, Buddhist Tzu Chi General Hospital, Taichung, Taiwan
 
Patient
male, 63 year(s)
 
 
  • Figure 1
    Erect chest film and chest CT examination
     

    From the erect chest film, the fragmented port catheter seemed to lie horizontally within the right ventricle and the tip pointed to apex (black arrows).

     
    Area of Interest: Cardiac; Imaging Technique: Conventional radiography;

    The chest CT examination revealed that the middle part of the catheter was within the coronary sinus (black arrow) and the distal tip protruded into the middle cardiac vein (white arrow).

     
    Area of Interest: Cardiac; Imaging Technique: CT;
     
     
  • Figure 2
    Retrieval
     

    Retrieval via the right femoral vein access was tried but failed due to the broken tip of catheter being pointed cranially.

     
    Area of Interest: Cardiac; Imaging Technique: Fluoroscopy; Procedure: Removal;

    After switching to the internal jugular venous approach, the fractured catheter was successfully retrieved.

     
    Area of Interest: Cardiac; Imaging Technique: Fluoroscopy; Procedure: Removal;
     
     
From the erect chest film, the fragmented port catheter seemed to lie horizontally within the right ventricle and the tip pointed to apex (black arrows).
 
The chest CT examination revealed that the middle part of the catheter was within the coronary sinus (black arrow) and the distal tip protruded into the middle cardiac vein (white arrow).
 
Retrieval via the right femoral vein access was tried but failed due to the broken tip of catheter being pointed cranially.
 
After switching to the internal jugular venous approach, the fractured catheter was successfully retrieved.
 
 
 
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