PC216. Ultrasound-Assisted Retrieval of Embolized Femoral Arterial Catheter

Abstract

Intravascular foreign body embolization as a result of catheter fracture is a rare but serious event that most often requires retrieval. Whereas many instances of central venous catheter fractures have been reported, arterial catheter fracture with embolization has rarely been described. Herein, a successful ultrasound-assisted endovascular retrieval of a fractured femoral arterial line catheter using a three-lobe snare is illustrated (Figs 1 and 2). After retrieval, there were excellent femoral and pedal pulses. Doppler flow through the vessels was normal, and the patient was discharged without further vascular complications. Considering the potential risks of vessel obstruction, thrombosis, end-organ ischemia, and perforation, arterial foreign bodies should generally be retrieved. However, there are many considerations in such endeavors that need to be contemplated, including location and associated symptoms, procedural techniques, and optimal imaging tools to locate and help in the extraction of the foreign body. In this case report, an ultrasound-assisted endovascular retrieval of a fractured femoral arterial catheter from the iliac artery is presented and discussed.Fig 2View Large Image Figure ViewerDownload Hi-res image Download (PPT)