Article Sidebar

Submitted
December 31, 2019
Accepted
August 31, 2020
Published
August 31, 2020
Download
PDF cover letter coi disclosure
Statistic
Read Counter : 506 Download : 558

Main Article Content

Abstract

We presented a 60-year-old woman with an history of end-stage renal disease on regular hemodialysis, twice a week, came with a tunneled dialysis catheter (TDC) that was attached to the right internal jugular vein. TDC has been dysfunction since one week ago that was suspected as a result of thrombosis in the lumen of TDC. TDC was cut in the insertion of the jugular vein. And then a wire was inserted into TDC that has been cut off. From Chest x-ray imaging, migration of fragmented TDC was found inside the heart chamber with wire inside the lumen. Fluoroscopy showed a picture of a fragmented TDC in the heart chamber with a wire inside the lumen. Retrieval of fragmented TDC used percutaneus snare loop method with wire guiding that was inserted through the left femoral vein. Fragmented TDC was removed successfully. Retrieval of the fragmented TDC through endovascular techniques is classified as a simple. Simple snare loop method is quite effective and very cheap compared to the commercial snare, open surgery or laparoscopic surgery that can be avoided.

Keywords

endovascular procedures intracardiac catheters equipment failure

Article Details

How to Cite
Ginting, A., Yasa, K. P., & Sembiring, Y. E. (2020). Percutaneous retrieval of intracardiac fragmented hemodialysis catheter using a snare-loop catheter: A case report. JKKI : Jurnal Kedokteran Dan Kesehatan Indonesia, 11(2), 204–213. https://doi.org/10.20885/JKKI.Vol11.Iss2.art14
Download Citation
Endnote/Zotero/Mendeley (RIS)
BibTeX

References

  1. Barret B. Some facts about central venous catheters (hemodialysis catheters). Yhe Kidney Fund Canada. 2010;(February 2010):1–3.
  2. Banerjee S. Dialysis catheters and their common complications: An update. ScientificWorldJournal. 2010;9:1294–9.
  3. Zhu LN, Mou LJ, Ying-Hu LJ, Wei GN, Sun JF. Failure to place a tunneled hemodialysis catheter due to malformation of right internal jugular vein draining to subclavian vein. Journal of International Medical Research. 2018;46(6):2481–5.
  4. Thompson K. Non-surgical retrieval of devices and foreign bodies. Endovascular Today. 2010;(July):29–32.
  5. Adeel Ebad C, Davitt S, Gnanasekaran R, Khan A, Moran AM. Application of Hong’s technique for removal of stuck hemodialysis tunneled catheter to pacemaker leads. Radiology Case Reports. 2017;12(1):97–101.
  6. Pereira K, Osiason A, Salsamendi J. Vascular access for placement of tunneled dialysis catheters for hemodialysis: A Systematic approach and clinical practice algorithm. Journal of Clinical Imaging Science. 2015;5(1):1–12.
  7. Hong JH. An easy technique for the removal of a hemodialysis catheter stuck in central veins. Journal of Vascular Access. 2010;11(1):59–62.
  8. Forneris G, Savio D, Quaretti P, Fiorina I, Cecere P, Pozzato M, et al. Dealing with stuck hemodialysis catheter: State of the art and tips for the nephrologist. Journal of Nephrology. 2014;27(6):619–25.
  9. Miller LM, MacRae JM, Kiaii M, Clark E, Dipchand C, Kappel J, et al. Hemodialysis tunneled catheter noninfectious complications. Canadian Journal of Kidney Health and Disease. 2016;3(1).
  10. Wang L, Wei F, Jiang A, Chen H, Sun G, Bi X. Longer duration of catheter patency, but similar infection rates with internal jugular vein versus iliac vein tunneled cuffed hemodialysis catheters: A single-center retrospective analysis. International Urology and Nephrology. 2015;47(10):1727–34.
  11. Sequeira A, Sachdeva B, Abreo K. Uncommon complications of long-term hemodialysis catheters: Adhesion, migration, and perforation by the catheter tip. Seminars in Dialysis. 2010;23(1):100–4.
  12. Hong JH. A breakthrough technique for the removal of a hemodialysis catheter stuck in the central vein: Endoluminal balloon dilatation of the stuck catheter. Journal of Vascular Access. 2011;12(4):381–4.
  13. Zhou L, Yu S, Gou S, Shi M, Cui T, Fu P. Removing the incarcerated tunneled cuffed venous catheters: An experience from a single center. Blood Purification. 2018;46(3):246–7.
  14. Amoretti N, Hauger O, Marcy PY, Hovorka I, Lesbats-Jacquot V, Fonquerne ME, et al. Foreign body extraction from soft tissue by using CT and fluoroscopic guidance: A new technique. European Radiology. 2010;20(1):190–2.
  15. Semadi IN, Koerniawan HS, Irawan H. Retrieval of intravascular fractured fragment of tunnelled double lumen catheter in hemodialysis patient. Open Access Macedonian Journal of Medical Sciences. 2019;7(1):124–6.
  16. Micro M. objects from any angle . Three different types in various sizes make our snare the ideal interventional solu - tion for use in middle-sized to large vessels (Multi-Snare ®), in distal smaller vessels (Multi-Snare ® Micro) and for supporting the implan. Multi-Snare®. 2015. http://www.pfmmedical.com