Key result
Snare loop retrieval of an embolized broken permacatheter fragment from the right ventricle successfully reverted refractory ventricular tachycardia to a normal rhythm in a hemodialysis patient.
Why the study?
Refractory ventricular tachycardia is a life-threatening arrhythmia with many reported triggers, and the authors report a rare cause.
Case Report (n=1)
Embolized catheter fragments should be considered in the differential diagnosis for refractory ventricular tachycardia in patients with long-term hemodialysis access devices.
Embolized catheter fragments warrant consideration in refractory VT among hemodialysis patients; hypothesis-generating for prospective validation.
Refractory ventricular tachycardia (RVT) has been a life-threatening form of arrhythmias. There are many causes reported in literature that are found to trigger RVT. Here, we report a rare cause of RVT. A gentleman under maintenance hemodialysis since 1 year was emplaced with permacatheter since then. He presented with signs and symptoms of RVT, on evaluation, it was found that RVT was caused due to broken permacatheter fragment that was embolized into the right ventricle. It was successfully retrieved through snare loop as an emergency and the RVT was then reverted to normal rhythm. Therefore, in patients undergoing hemodialysis or under treatment with such access devices symptoms of chest pain, irregular heart rhythms or complications like retained catheter must be considered as a part of differential diagnosis, even when substantial time has elapsed after initial catheter access emplacement.
No takes yet. Share an insight, caveat, or question.
Tumkur et al. (2021) conducted a case report in Refractory ventricular tachycardia (n=1). Snare loop retrieval of broken permacatheter fragment was evaluated on Reversion to normal rhythm. Snare loop retrieval of an embolized broken permacatheter fragment from the right ventricle successfully reverted refractory ventricular tachycardia to a normal rhythm in a hemodialysis patient.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: