Central venous catheter disruption and embolization: percutaneous retrieval. A case report

M. Mercuri*, M. Distefano*, M. Crovaro, S. Giri, G. Sportelli, A. Carrara, A. Butti*, A. Wiel Marin*

Department of Surgery Paride Stefanini, La Sapienza University – Rome (Italy)
Istituto di Clinica General Surgery, Catholic University “Sacro Cuore” – Rome (Italy)

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• Angiology

Abstract. – Disruption followed by intravasal embolization is a rare (0.5%) however possible complication secondary to the insertion of a central venous catheter. The carriers of these implantable systems are patients who, for their cure and at times even for their survival, require the chronic intravenous infusion of drugs and solutions. Therefore materials that can allow long-term insertion with a minimum of complications are the most suitable. There are several causes of disruption and embolization of cannulae. The most common are represented by the pinch-off syndrome and catheter disconnection from reservoir. The literature on the subject is illustrated and a personal case treated with intravascular retrieval is reported.

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