CC BY-NC-ND 4.0 · The Arab Journal of Interventional Radiology 2018; 02(03): S33
DOI: 10.1055/s-0041-1730740
Abstract

Broken Catheters: A Review of Surgical Management

A Shaffeek
Government Medical College, Trivandrum, India
,
J Ravikrishnan
Government Medical College, Trivandrum, India
,
M C Rajendran
Government Medical College, Trivandrum, India
,
M H. Abdul Rasheed
Government Medical College, Trivandrum, India
› Author Affiliations

Background: A large variety of diseases are nowadays diagnosed and treated with catheterization procedures. As the number of procedures increase, the number of catheter-related complications also increase. The catheter or guidewire can break during the procedure. Unintentionally, the catheter may get embolized to unwanted sites and chambers. In developing countries, the diagnostic and therapeutic catheters are reused to contain cost. This practice also increases the risk of breakage of the catheters. Methods: Government Medical College, Trivandrum, is a tertiary care center doing around 5000 angiograms per year, including coronary and peripheral angiograms. The hospital is a referral center for the other hospitals in the district. The department of cardiothoracic and vascular surgery provides surgical backup for these procedures. A review of records was done to assess the frequency of surgical management in catheter-related complications during November 2015 to October 2017. Results: The total number of angiograms was 9876 during the study period with total of five catheter-related complications that required surgery. Indications for surgery included broken catheter in popliteal artery (n=1), broken catheter in iliac artery (n=1), broken sheath in femoral artery (n-1), pericardial pigtail in pulmonary artery (n=1), guidewire in radial artery (n=1). The mean hospital stay was 10 days Conclusion: Even though rare, serious vascular complications do occur in diagnostic and therapeutic catheterization. Though snaring and retrieval is possible in many occasions, surgery has a definite role in case of failure of percutaneous methods. By timely surgical approach, all our patients had a good outcome.



Publication History

Article published online:
11 May 2021

© 2018. The Arab Journal of Interventional Radiology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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