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Letter to Editor in response to: Retained intravascular catheter fragment at removal of implantable vascular access device

      We read with great interest the article by Rassam, et al., about “Retained intravascular catheter fragment at removal of implantable vascular access device: Incidence, risk factors, and outcomes.”[1] We congratulate the authors for their study. In this study, the authors removed 654 implantable vascular access devices (IVAD) over a 5-year period. Six cases of retained intravascular catheter fragment (RICF) were identified among these line removal episodes (0.92%) in their pediatric patients. They showed that RICF did not develop in cases with a line duration of less than 3 years, p < 0.0001. Since 5 of these 6 cases were under the age of 16, it was decided to follow up without additional procedures. One had the fragment tip extruding through a wound, which required trimming. The other (17 years of age) developed an infected sinus for which partial removal with open excision followed by full removal with endovascular snare retrieval was performed by the adult vascular surgeons [
      • Rassam J.
      • Bough G.
      • Ito G.
      • Mullins W.
      • Long A.M.
      Retained intravascular catheter fragment at removal of implantable vascular access device: incidence, risk factors, and outcomes.
      ].
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      References

        • Rassam J.
        • Bough G.
        • Ito G.
        • Mullins W.
        • Long A.M.
        Retained intravascular catheter fragment at removal of implantable vascular access device: incidence, risk factors, and outcomes.
        J Pediatr Surg. 2022; 57: 224-228
        • Önal B.
        • Coşkun B.
        • Karabulut R.
        • Ilgıt E.T.
        • Türkyilmaz Z.
        • Sönmez K.
        Interventional radiological retrieval of embolized vascular access device fragments.
        Diagn Interv Radiol. 2012; 18: 87-91