Endovascular Retrieval of Fragmented Central Venous Access Device Catheters: A Management Protocol Based on Catheter Location

摘要

IntroductionFragmented central venous access device (CVAD) catheters can be retrieved percutaneously but a pertinent approach for catheters in various locations has not been addressed.ReportComparing 14 fragmented CVAD catheters managed with direct snaring with 35 catheters treated by a modified protocol with repositioning of intrapulmonary or intracardiac catheters (21/35 cases) to the inferior vena cava before snaring, the latter group had a shorter fluoroscopic time (23.0?±?10.6 vs. 11.0?±?4.0?min,P?=?0.005) and less chest symptoms (42.8% vs. 8.7%,P?=?0.011).ConclusionFragmented CVAD catheters managed with a modified protocol with repositioning before snaring are feasible with reductions in fluoroscopic time and chest symptoms.