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©2013 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Cardiol. Sep 26, 2013; 5(9): 369-372
Published online Sep 26, 2013. doi: 10.4330/wjc.v5.i9.369
Published online Sep 26, 2013. doi: 10.4330/wjc.v5.i9.369
Endovascular technique using a snare and suture for retrieving a migrated peripherally inserted central catheter in the left pulmonary artery
Hiroki Teragawa, Takashi Sueda, Yuichi Fujii, Hiroaki Takemoto, Yasushi Toyota, Shuichi Nomura, Department of Cardiovascular Medicine, Hiroshima General Hospital of West Japan Railway Company, Hiroshima 732-0057, Japan
Keigo Nakagawa, Department of Internal Medicine, Chuden Hospital, Hiroshima 730-8562, Japan
Author contributions: Teragawa H wrote the manuscript; Fujii Y, Takemoto H, Toyota Y and Nomura S collected data; Sueda T and Nakagawa K evaluated the study data and revised the manuscript.
Correspondence to: Hiroki Teragawa, MD, PhD, Department of Cardiovascular Medicine, Hiroshima General Hospital of West Japan Railway Company, 3-1-36 Futabanosato, Higashi-ku, Hiroshima 732-0057, Japan. hiroteraga71@gmail.com
Telephone: +81-82-262-1171 Fax: +81-82-262-1499
Received: May 3, 2013
Revised: July 25, 2013
Accepted: August 4, 2013
Published online: September 26, 2013
Processing time: 146 Days and 12.8 Hours
Revised: July 25, 2013
Accepted: August 4, 2013
Published online: September 26, 2013
Processing time: 146 Days and 12.8 Hours
Core Tip
Core tip: Catheter migration has been reported as a delayed complication of peripherally inserted central catheter (PICC). Retrieval by the endovascular technique using a snare is usually attempted in cases of PICC migration, but there have been some difficulties in retrieving the broken catheter. We encountered a patient with an ectopic PICC in the left pulmonary artery; the ectopic PICC could not be retrieved by the usual method using a snare, but was successful retrieved using a snare and suture technique. The endovascular suture technique is a useful method to retrieve a dislocated or broken catheter and should be considered by interventional cardiologists.