Key result
A PermCath catheter was found to have broken and embolized to the right ventricle and left main pulmonary artery three years after insertion in a 50-year-old woman, who remained completely asymptomatic.
Case Report (n=1)
Asymptomatic late embolization of a PermCath to the right ventricle and pulmonary artery can occur, and conservative management may be considered if surgical removal is high risk, though guidelines recommend early removal of unused devices.
Asymptomatic late PermCath embolization may occur; leaves open optimal management in high-surgical-risk patients.
INTRODUCTION: Nowadays, many types of intravascular devices and catheters are used in order to diagnose and treat diseases. Complications related to these instruments are the costs that doctors and patients have to pay to benefit from their advantages. Catheter embolization is one of these side effects. Patients with devices in their cardiopulmonary system are at risk for severe complications such as arrhythmias, pulmonary embolism, myocardial injuries, hemoptysis, thrombosis and perforation. CASE PRESENTATION: A 50-years-old woman, with a history of breast cancer, had a PermCath emplacement in right subclavian vein for a course of chemotherapy. The treatment for cancer seemed to be successful and the PermCath had remained in its position without complication, for a couple of years however, the catheter was founded broken and embolized to the right ventricle and the main left pulmonary artery, diagnosed by a chest X-ray study incidentally. CONCLUSIONS: It is better to remove the unused devices safely to prevent and decrease their possible complications.
No takes yet. Share an insight, caveat, or question.
Yousefshahi et al. (2015) conducted a case report in Catheter embolization (n=1). PermCath catheter was evaluated. A PermCath catheter was found to have broken and embolized to the right ventricle and left main pulmonary artery three years after insertion in a 50-year-old woman, who remained completely asymptomatic.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: