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 [
[1]
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References
- Retained intravascular catheter fragment at removal of implantable vascular access device: incidence, risk factors, and outcomes.J Pediatr Surg. 2022; 57: 224-228
- Interventional radiological retrieval of embolized vascular access device fragments.Diagn Interv Radiol. 2012; 18: 87-91
Article info
Publication history
Published online: May 10, 2022
Accepted:
April 27,
2022
Received:
April 26,
2022
Identification
Copyright
© 2022 Elsevier Inc. All rights reserved.
