Case Report
A rare case of foreign body in coronary sinus. A novel endovascular method for retrieval
Bhanu Maturi*, Ashwini Sharma, Ashok Runkana, Rhoshini Rajasekaran, Varshitha Kondapaneni and Tilachan Parajuli
Published: 30 March, 2023 | Volume 8 - Issue 1 | Pages: 039-041
Central venous catheter fracture and migration are rare complications in patients receiving long-term infusions or chemotherapy. We present a rare case of a chest port catheter fracture that migrated into the coronary sinus. This case is likely the fourth report of a port catheter fracture with migration to the coronary sinus. Because of the difficult-to-retrieve location, multiple attempts were unsuccessful with traditional techniques using a loop snare. Finally, the fractured portion was disengaged from the coronary sinus using a navigational electrophysiology catheter guided by intracardiac echocardiography; the dislodged end was snared and eventually removed by the femoral route. This case of a chest port catheter fracture is unique because of the unusual migration to the coronary sinus and the use of a navigational electrophysiology catheter as a novel retrieval technique.
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DOI: 10.29328/journal.jccm.1001151
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Keywords:
Central venous catheter; Coronary sinus; Port catheter fracture; Navigational electrophysiology catheter
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