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    • Percutaneous Retrieval of Migrated Central Venous Catheters

    Mohamed El-Maadawy, MD & Amr Abdelraheem, MD.
    Vascular Surgery Unit, Faculty of Medicine, Cairo University

    Migrated catheters should be removed as soon as possible, for several reasons. Once migrated, any intravascular catheter caries the risk of 71% major complications and is associated with a high mortality rate, between 24% and 60% . Cardiac arrhythmias or perforation threatens patients with cardiopulmonary localization of foreign objects. Seven cases were included in this study. Five patient were females and two males. The average age was 56 years. Six cases had migrated Port-A Catheter and one broken hemodialysis catheter (Mahurkar). The latter was broken at the hub and slept under the covering dressing. Retrieval procedures were accomplished through the right femoral vein access in all patients. In one patient who had the distal end embedded in the right hepatic vein, additional right internal jugular vein access was employed. A single loop snare succeeded in retrieving all catheters. All patients tolerated the procedure well without any procedure related complication. Keywords: migrated central venous catheter, displaced centrally inserted catheter, endovascular retrieval, percutaneous retrieval, percutaneous extraction. 

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