Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Case report
Year : 2016 | Month : March | Volume : 10 | Issue : 3 | Page : OD10 - OD11

A Novel Approach for the Retrieval of Broken Catheter Fragment Using Balloon Dilatation Technique

Padmakumar Ramachandran, Rohith Poondru Reddy, M Sudhakar Rao, Ashwal Adamane Jayaram

1. Head of Department, Department of Cardiology, Kasturba Medical College, Manipal, Karnataka, India. 2. Registrar, Department of Cardiology, Kasturba Medical College, Manipal, Karnataka, India. 3. Registrar, Department of Cardiology, Kasturba Medical College, Manipal, Karnataka, India. 4. Assistant professor, Department of Cardiology, Kasturba Medical College, Manipal, Karnataka, India.

Correspondence Address :
Dr. M Sudhakar Rao,
Registrar, Kasturba Medical College, Manipal University, Manipal, Udupi District, Karnataka 576104, India.
E-mail: msudhakar88@gmail.com

Abstract

In this era of an ever increasing number of interventions in cardiology, there is a parallel increase in the number of complications associated with these interventions, such as broken catheter tip and guide wire embolisation. The most commonly used and effective method for the percutaneous retrieval of such broken fragments is a goose neck snare. However in cases where this technique has been a failure, newer and novel innovations have been implemented for the retrieval of such broken fragments. We present a case of seven-year-old female child with a 3mm peri-membranous ventricular septal defect who was taken up for device closure. During the procedure the internal mammary catheter was broken in the left ventricle and subsequently the broken fragment was embolised to the left common carotid artery. The broken fragment was snared down upto the common iliac but could not be retrieved out of the sheath. A novel approach was used, consisting of negotiating a coronary guide wire across the broken catheter and inflating a balloon in the catheter fragment which helped to achieve a co-axial alignment with the arterial sheath and hence by which it was possible to retrieve the broken catheter fragment out of the circulatory system.

Keywords

Common carotid artery, Embolisation, Foreign body, Ventricular septal defect

How to cite this article :

Padmakumar Ramachandran, Rohith Poondru Reddy, M Sudhakar Rao, Ashwal Adamane Jayaram. A NOVEL APPROACH FOR THE RETRIEVAL OF BROKEN CATHETER FRAGMENT USING BALLOON DILATATION TECHNIQUE. Journal of Clinical and Diagnostic Research [serial online] 2016 March [cited: 2018 Jul 21 ]; 10:OD10-OD11. Available from
http://www.jcdr.net/back_issues.asp?issn=0973-709x&year=2016&month=March&volume=10&issue=3&page=OD10-OD11&id=7418

DOI and Others

DOI: 10.7860/JCDR/2016/16862.7418


Date of Submission: Sep 18, 2015
Date of Peer Review: Dec 02, 2015
Date of Acceptance: Dec 08, 2015
Date of Publishing: Mar 01, 2016


Financial OR OTHER COMPETING INTERESTS: None.

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