Retained Catheter Fragment from a Fractured Tunneled Catheter—A Rare and Potentially Lethal Complication

Authors


Address correspondence to: Anand Reddy, One Gustave L.Levy Place, Mount Sinai School of Medicine, New York, NY 10029, Tel.: +1-212-241-8002, Fax: +1-212-987-0389, or e-mail: anand.reddy@mssm.edu.

Abstract

Despite efforts to curtail central vein catheter use for dialysis catheters are frequently used in the treatment of end-stage renal disease (ESRD). In 2006, 82% of patients in the USA initiated dialysis via a catheter. The overall of tunnelled cuffed catheter (TCC) use was 35% greater in 2005 compared with 1996. Dialysis catheter tip fracture is a rare and potentially serious complication. Herein, we present the case of an incidental finding of a retained catheter fragment from a fractured TCC in the right atrium. Fragment retrieval (via snare technique) and subsequent placement of a new central venous catheter are outlined.

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