Tzu Chi Medical Journal
Volume 20, Issue 1 , Pages 40-43, March 2008

Percutaneous Retrieval of Dislodged Port-A Catheters by Loop Retriever

  • Kuo-Hsien Chiang

      Affiliations

    • Department of Radiology, Buddhist Tzu Chi General Hospital, Tzu Chi University, and Tzu Chi College of Technology, Hualien, Taiwan
    • ,
  • Hsin-Wen Huang

      Affiliations

    • Department of Radiology, Buddhist Tzu Chi General Hospital, Tzu Chi University, and Tzu Chi College of Technology, Hualien, Taiwan
    • ,
  • Pau-Yuan Chang

      Affiliations

    • Department of Radiology, Buddhist Tzu Chi General Hospital, Tzu Chi University, and Tzu Chi College of Technology, Hualien, Taiwan
    • ,
  • Chau-Chin Lee

      Affiliations

    • Department of Radiology, Buddhist Tzu Chi General Hospital, Tzu Chi University, and Tzu Chi College of Technology, Hualien, Taiwan
    • ,
  • Pao-Sheng Yen

      Affiliations

    • Department of Radiology, Buddhist Tzu Chi General Hospital, Tzu Chi University, and Tzu Chi College of Technology, Hualien, Taiwan
    • ,
  • Chang-Ming Ling

      Affiliations

    • Department of Radiology, Buddhist Tzu Chi General Hospital, Tzu Chi University, and Tzu Chi College of Technology, Hualien, Taiwan
    • ,
  • Chao-Chun Lin

      Affiliations

    • Department of Radiology, Buddhist Tzu Chi General Hospital, Tzu Chi University, and Tzu Chi College of Technology, Hualien, Taiwan
    • ,
  • Andy Shau-Bin Chou

      Affiliations

    • Department of Radiology, Buddhist Tzu Chi General Hospital, Tzu Chi University, and Tzu Chi College of Technology, Hualien, Taiwan
    • Institute of Clinical Medical Sciences, Chang Gung University, Taoyuan, Taiwan
    • Corresponding Author InformationCorresponding author. Department of Radiology, Buddhist Tzu Chi General Hospital, 707, Section 3, Chung-Yang Road, Hualien, Taiwan

Received 10 April 2007; received in revised form 30 April 2007; accepted 24 July 2007.

Article Outline

Abstract 

Objective

Port-A catheter fracture with embolization is a serious complication. The percutaneous retrieval of intravascular foreign bodies avoids the need for surgery in this high risk population. We report on 14 patients who underwent percutaneous retrieval of dislodged Port-A catheters by loop retriever.

Materials and Methods

Fourteen patients who had undergone percutaneous foreign body retrieval between 2002 and 2007 were evaluated retrospectively. In all procedures, retrieval of foreign bodies was performed using a 6.3-F angled wire loop retriever.

Results

The percutaneous retrieval procedure was successful in all 14 patients. Repositioning of the foreign body was done in seven cases using an RC1 catheter for the intracardiac Port-A catheter fragments. Additional surgery was not required. No further complications, such as damage to the vascular wall, were noted.

Conclusion

With the increasing use of indwelling catheters and interventional devices, we are frequently confronted with the problem of dislodged catheters. The percutaneous approach should be considered as the first choice when trying to resolve the problem of an embolized catheter in the cardiovascular system. [Tzu Chi Med J 2008;20(1):40–43]

Keywords:  Loop retriever , Percutaneous retrieval , Port-A catheter

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References 

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PII: S1016-3190(08)60006-3

doi:10.1016/S1016-3190(08)60006-3

Tzu Chi Medical Journal
Volume 20, Issue 1 , Pages 40-43, March 2008

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