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ASDIN Clinical Case Focus : Retrieval of a Fractured Piece of Tessio Catheter with a Snare Using a Transcutaneous Transvenous Approach
Author(s) -
Zaman Fahim,
Pervez Aslam,
Murphy Sara,
Abreo Kenneth D.
Publication year - 2005
Publication title -
seminars in dialysis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.899
H-Index - 78
eISSN - 1525-139X
pISSN - 0894-0959
DOI - 10.1111/j.1525-139x.2005.18410.x
Subject(s) - medicine , dialysis catheter , catheter , dialysis , hemodialysis catheter , hemodialysis , surgery , thrombosis , central venous catheter , port (circuit theory) , end stage renal disease , fibrin , electrical engineering , engineering , immunology
Approximately 20% of end‐stage renal disease patients requiring hemodialysis have central dialysis catheters as their vascular access. The major cause of central dialysis catheters removal or revision is infection or occlusion. Catheter occlusions may occur as a result of thrombosis or fibrin sheath formation. However, the presence of a fractured dialysis catheter tip requiring immediate extraction to prevent serious complications is rare. Herein we present the case of a central dialysis catheter referred to us for malfunction. An incidental finding was a piece of catheter that had broken off the venous port and was seen in the right atrium. The retrieval and subsequent placement of a new central dialysis catheter are outlined.