Using ultrasound to prevent a broken catheter from migrating to the heart

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A peripheral IV catheter was removed in a 90 year old patient and only half of the catheter was retrieved. By using ultrasound examination the remaining part of the IV catheter was identified, and retrieved surgically, before it could migrate towards the heart” Schraverus et al (2017).

Abstract:

Peripheral intravenous (IV) catheters can break off while still in the patient, with possible detrimental effects such as upstream migration to the heart. These catheters have probably been damaged by the needle during a difficult insertion. A peripheral IV catheter was removed in a 90 year old patient and only half of the catheter was retrieved. By using ultrasound examination the remaining part of the IV catheter was identified, and retrieved surgically, before it could migrate towards the heart. This case report suggests that ultrasound should not only be used for difficult placement of a peripheral IV catheter, but can also be used when removal is complicated.

Full Text

Reference:

Schraverus, P.J., van Rijswijk, S. and Tuinman, P.R. (2017) Case Report: Using ultrasound to prevent a broken catheter from migrating to the heart. F1000Research. May 3rd. eCollection 2017.

doi: 10.12688/f1000research.11206.1.

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