Percutaneous retrieval of a dislodged and migrated port catheter using ablation catheter and balloon trapping technique

Karthikesan, Dharmaraj and Mohd Said, Mohd Ridzuan and Chin, Yung Chea and Narasamuloo, Kantha Rao and Chee, Tat Liew and Eeckhout, Eric and Kehasukchareon, Wirash and Krishinan, Saravanan (2024) Percutaneous retrieval of a dislodged and migrated port catheter using ablation catheter and balloon trapping technique. Journal of Asian Pacific Society of Cardiology, 3. pp. 1-4. ISSN 2754-0650

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Abstract

Totally implantable venous access devices (TIVADs) are routinely used in oncology patients, especially those requiring long-term chemotherapy. However, they are associated with minimal complications including catheter fracture. The fundamental approach for dislodged TIVAD is via percutaneous method. Reported here is a case of a 62-year-old woman with underlying rectosigmoid carcinoma presenting with dislodged port catheter within the right atrial appendage and the distal end lodged deeply into the hepatic vein. After multiple unsuccessful attempts with pigtail catheter, conventional snaring device and home-made snare, a deflectable ablation catheter was used and successfully retracted the deeply seated port catheter into the inferior vena cava. However, difficulty was encountered retrieving the port catheter due to malalignment of the port catheter to the femoral sheath. This was overcome by balloon trapping technique which aligned the port catheter with the femoral sheath allowing it to be retrieved safely, and the patient made a full recovery without any complications from the procedure.

Item Type:	Article (Case Report)
Uncontrolled Keywords:	Port catheter, dislodged, percutaneous retrieval, balloon trapping technique
Subjects:	R Medicine > RC Internal medicine > RC667 Specialties of Internal Medicine-Diseases of Circulatory (Cardiovascular) System
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine Kulliyyah of Medicine > Department of Internal Medicine
Depositing User:	Dr Mohd Ridzuan Mohd Said
Date Deposited:	10 Jan 2025 12:51
Last Modified:	10 Jan 2025 12:54
URI:	http://irep.iium.edu.my/id/eprint/118408

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