Central venous catheter detachment with migration to the right atrium: A rare complication of a common implantable device

The intravascular embolization of catheter fragments is an uncommon yet potentially serious complication of central venous catheters (CVC). We present the case of an 81-year-old female with a history of endometrial cancer who presented from an oncologic appointment with a nonfunctioning chest port (CVC). The chest port was placed 10 months prior without complication. An initial fluoroscopic image of the chest revealed detachment and migration of the catheter towards the right atrium. The catheter was successfully retrieved with a gooseneck snare using an inferior approach through the femoral vein. Catheter detachment and embolization is a rare complication of CVCs that should be included in the differential of a nonfunctional port.

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Publication Details

Journal
Radiology Case Reports
Published
2025-06-07
DOI
https://doi.org/10.1016/j.radcr.2025.05.020
Primary Topic
Central Venous Catheters and Hemodialysis
Type
article
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article

Central venous catheter detachment with migration to the right atrium: A rare complication of a common implantable device

Michael Hollander, Francis Flaherty, Jacob Van Vorst
1 links
Radiology Case Reports
Central Venous Catheters and Hemodialysis
article

Central venous catheter detachment with migration to the right atrium: A rare complication of a common implantable device

Michael Hollander, Francis Flaherty, Jacob Van Vorst
article en

Abstract

The intravascular embolization of catheter fragments is an uncommon yet potentially serious complication of central venous catheters (CVC). We present the case of an 81-year-old female with a history of endometrial cancer who presented from an oncologic appointment with a nonfunctioning chest port (CVC). The chest port was placed 10 months prior without complication. An initial fluoroscopic image of the chest revealed detachment and migration of the catheter towards the right atrium. The catheter was successfully retrieved with a gooseneck snare using an inferior approach through the femoral vein. Catheter detachment and embolization is a rare complication of CVCs that should be included in the differential of a nonfunctional port.

Radiology Case ReportsVol. 20(9)
Norwalk Hospital (US)
Openalex Percentile: Top 78%
Central Venous Catheters and Hemodialysis
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